Bowie W R, Jones H
Ann Intern Med. 1981 Dec;95(6):685-8. doi: 10.7326/0003-4819-95-6-685.
Among 830 women attending a clinic for sexually transmitted disease, Chlamydia trachomatis was isolated from 180 (22%) and Neisseria gonorrhoeae from 84 (10%). Retrospective analysis showed that 43 of the women were given outpatient treatment for acute pelvic inflammatory disease because they had low abdominal pain, deep dyspareunia, or unusual vaginal bleeding, or all of these, for less than 2 months in association with cervical motion or adnexal tenderness, or both. None had adnexal masses. C. trachomatis was isolated from 22 and N. gonorrhoeae from 15 of this subgroup of 43 women. This presentation of pelvic inflammatory disease occurred in 10 of the 37 women in the whole study with both C. trachomatis and N. gonorrhoeae, 12 of 143 women with C. trachomatis alone, five of 47 women with N. gonorrhoeae alone, and 16 of 603 women with neither organism. Thus, in North America, C. trachomatis is associated with a syndrome usually diagnosed as mild pelvic inflammatory disease and managed on an outpatient basis.
在830名前往性传播疾病诊所就诊的女性中，180人（22%）分离出沙眼衣原体，84人（10%）分离出淋病奈瑟菌。回顾性分析显示，其中43名女性因下腹部疼痛、深部性交困难或异常阴道出血，或三者皆有，且伴有宫颈举痛或附件压痛，或两者皆有，持续时间少于2个月，而接受了急性盆腔炎的门诊治疗。无一例有附件包块。在这43名女性的亚组中，22人分离出沙眼衣原体，15人分离出淋病奈瑟菌。在整个研究中，37名同时感染沙眼衣原体和淋病奈瑟菌的女性中有10人出现这种盆腔炎表现，143名单独感染沙眼衣原体的女性中有12人出现，47名单独感染淋病奈瑟菌的女性中有5人出现，603名未感染这两种病原体的女性中有16人出现。因此，在北美，沙眼衣原体与一种通常被诊断为轻度盆腔炎并在门诊治疗的综合征有关。
