Cervical chlamydial infections: diagnostic accuracy of the Papanicolaou smear.

Abstract:

:To assess the reliability and accuracy of the Papanicolaou smear for the detection of cervical Chlamydia trachomatis infections, we obtained chlamydial cultures and cervical smears from 252 patients attending a gynecologic service during an eight-month time period. In 12 of these patients (4.8%), the cervical culture was positive for chlamydiae but the cytologic smear was negative for chlamydial inclusions. Five smears (2.2%) were cytologically positive for chlamydiae but were negative by culture. In none of the patients were both culture and smear positive for chlamydiae. In our experience the smear was a completely unreliable test for the diagnosis of cervical C trachomatis infections. The cytologic smear should not replace culture for the detection of chlamydial infections.

journal_name

South Med J

journal_title

Southern medical journal

authors

Clark RB,Schneider V,Gentile FG,Pechan B,Dalton HP

subject

Has Abstract

pub_date

1985-11-01 00:00:00

pages

1301-3

issue

11

eissn

0038-4348

issn

1541-8243

journal_volume

78

pub_type

杂志文章
  • Role of antibody-coated bacteria in the management of urinary tract infections.

    abstract::The antibody-coated bacteria (ACB) test was used to localize the site of urinary tract infection in a group of pediatric and adult patients. Duration of treatment of ACB-positive (upper tract) and ACB-negative (lower tract) infections was correlated with rates of recurrence during follow-up for six or more months. Two...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197711000-00006

    authors: Kulasinghe HP,Cushing AH,Reed WP

    更新日期:1977-11-01 00:00:00

  • Suppurative pylephlebitis caused by toothpick perforation.

    abstract::We have reported a case of suppurative pylephlebitis in an elderly, debilitated patient. The infection was caused by toothpick perforation of and migration from the gastrointestinal tract. The patient had risk factors for foreign body ingestion, including poor dentition, aphasia caused by a previous cerebrovascular ac...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198803000-00034

    authors: Peters TG,Locke JR,Weight GR

    更新日期:1988-03-01 00:00:00

  • Multicenter trial of prolonged infusions of rocuronium bromide in critically ill patients: effects of multiple organ failure.

    abstract:BACKGROUND:This study was done to determine the safety, efficacy, dosing requirements, and spontaneous recovery profiles of prolonged infusions of rocuronium bromide in the critically ill. METHODS:This multicenter, prospective, nonrandomized, open label trial enrolled 32 patients at two university-based medical center...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Circeo LE,Reeves ST

    更新日期:2001-01-01 00:00:00

  • Intracardiac thrombosis and antiphospholipid antibodies: a case report and review of the literature.

    abstract::A case report and review of the literature are reported concerning the relationship of intracardiac thrombosis and antiphospholipid antibody syndromes. Nine cases are identified, divided into three categories: three patients had antiphospholipid syndrome associated with systemic lupus erythematosus, three had primary ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199409000-00014

    authors: Baum RA,Jundt JW

    更新日期:1994-09-01 00:00:00

  • Fatal sepsis associated with an intrauterine device and pregnancy.

    abstract::The 15th case of maternal death associated with sepsis in pregnancy in a patient using the Dalkon Shield intrauterine device is reported. Intrauterine sepsis appears to be a complication of the use of this device. B acteria enter the uterus during pregnancy through the multifilament tail of the device. The management ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197702000-00042

    authors: Monif GR,D'Alessandri RM,Khakoo RA,Kluge RM

    更新日期:1977-02-01 00:00:00

  • Nerve root cut-off on metrizamide-enhanced computerized tomography.

    abstract::The "wink" sign of nerve root cut-off seen on metrizamide-enhanced computerized tomography correlates well with compression of a lumbar nerve by a herniated disk. Seven of 46 patients had normal or equivocal myelograms, but had definite nerve root cut-off on metrizamide-enhanced CT scan. All seven patients were found ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198605000-00009

    authors: Smith GR

    更新日期:1986-05-01 00:00:00

  • Recurrent spontaneous myoclonus in alcohol withdrawal.

    abstract::I have described two patients who had recurrent spontaneous myoclonic jerking in the alcohol withdrawal state. These movements were distinguishable clinically and electroencephalographically from partial seizures and epilepsia partialis continua. The jerking did not respond to anticonvulsants but resolved as the withd...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198308000-00028

    authors: Drake ME Jr

    更新日期:1983-08-01 00:00:00

  • Medical coverage of high school athletics in North Carolina.

    abstract:BACKGROUND:A significant percentage of high school students participate in athletics, and of those participating, at least one third will experience a sport-related injury. Despite the high risk of injury, there are few guidelines on what type of medical coverage should be provided for high school athletics. Although v...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000199749.22741.5e

    authors: Aukerman DF,Aukerman MM,Browning D

    更新日期:2006-02-01 00:00:00

  • Anserine bursitis in patients with osteoarthritis of the knee.

    abstract:BACKGROUND:We sought to determine the frequency of anserine bursitis (AB) in Koreans with osteoarthritis (OA) of the knee and its relationship to age, sex, and radiographic severity of OA, and to evaluate its response to various forms of therapy. METHODS:In a retrospective study, we reviewed the charts of patients wit...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Kang I,Han SW

    更新日期:2000-02-01 00:00:00

  • Meckel's diverticulum in a femoral hernia: a Littre's hernia.

    abstract::We have described a patient with strangulation of a Meckel's diverticulum in a femoral hernia. In the case of Littre's hernia, true diagnosis before surgical intervention is rare if not impossible. It is therefore important that the surgeon be well versed in the management of such cases, as well as in distinguishing a...

    journal_title:Southern medical journal

    pub_type: 历史文章,杂志文章

    doi:10.1097/00007611-198705000-00027

    authors: Trupo FJ,Aburahma A

    更新日期:1987-05-01 00:00:00

  • Methemoglobinemia caused by benzocaine topical spray.

    abstract::Acute methemoglobinemia is a medical emergency that can rapidly become fatal. A substantial number of drugs, including topical preparations, can precipitate this condition. I report a rare example of severe, acute methemoglobinemia caused by oropharyngeal anesthesia with topical benzocaine spray for orogastric intubat...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199709000-00018

    authors: Cooper HA

    更新日期:1997-09-01 00:00:00

  • Listeria monocytogenes-induced monomicrobial non-neutrocytic bacterascites.

    abstract::Spontaneous bacterial peritonitis (SBP) is a common complication in patients with cirrhosis of the liver. The organisms most commonly involved in this infection are gram-negative bacteria like Escherichia coli and Klebsiella pneumoniae, and gram-positive bacteria like Streptococcus pneumoniae and Staphylococcus aureus...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Jammula P,Gupta R

    更新日期:2002-10-01 00:00:00

  • Unilateral adrenal mass due to Mycobacterium kansasii in an AIDS patient.

    abstract::Infection with Mycobacterium kansasii in patients with acquired immunodeficiency syndrome usually involves the lung or disseminated infection. We report a case of infection with M kansasii confined to the adrenal gland and possibly to an adjacent vertebral body that presented as a fever of undetermined origin. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199810000-00019

    authors: Cook PP,Christie J

    更新日期:1998-10-01 00:00:00

  • Tuberculous sacroiliitis.

    abstract::We have described an unusual case of tuberculous sacroiliitis associated with adrenal insufficiency, with details of radiologic studies and review of the literature concerning tuberculous sacroiliitis. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198309000-00032

    authors: Goldberg J,Kovarsky J

    更新日期:1983-09-01 00:00:00

  • Marked hypochloremic metabolic alkalosis with severe compensatory hypoventilation.

    abstract::In metabolic alkalosis, a compensatory decrease in alveolar ventilation with hypercapnia has been noted only rarely. We recently managed a patient with gastric outlet obstruction from a duodenal ulcer who survived after arriving in the emergency room comatose with severe hypochloremic metabolic alkalosis, compensatory...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198610000-00025

    authors: Lavie CJ,Crocker EF Jr,Key KJ,Ferguson TG

    更新日期:1986-10-01 00:00:00

  • Experimental manipulation of cocaine craving by videotaped environmental cues.

    abstract::Thirteen male patients consecutively admitted to an inpatient drug and alcohol rehabilitation hospital with the primary diagnosis of crack cocaine dependence were shown a 30-minute videotape that included salient environmental cues intended to elicit cocaine craving. The subjects were tested before and after the video...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199411000-00016

    authors: Kilgus MD,Pumariega AJ

    更新日期:1994-11-01 00:00:00

  • Orthopedic surgery postgraduate year 1 intern curriculum improves initial orthopedic in-training examination performance.

    abstract:OBJECTIVE:To determine the efficacy of an educational curriculum designed for orthopedic surgery postgraduate year 1 (PGY-1) interns to improve initial Orthopedic In-Training Examination (OITE) performance. METHODS:A retrospective cohort study was performed that evaluated the PGY-1 intern OITE performance of one resid...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31824fb9a4

    authors: Roberts CS,Nyland J,Broome B

    更新日期:2012-04-01 00:00:00

  • Barium appendicitis.

    abstract::We report a case of acute appendicitis with perforation associated with retained appendiceal barium. Abnormally retained barium may lead to appendicitis and this should be kept in mind when a barium-filled appendix is seen in an asymptomatic patient. Routine follow-up films on all patients whose appendix fills with ba...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198204000-00037

    authors: Sisley JF,Wagner CW

    更新日期:1982-04-01 00:00:00

  • Incidence and simple management of priapism following dynamic infusion cavernosometry-cavernosography.

    abstract::Of 239 patients with erectile dysfunction (aged 36 to 70 years) who were evaluated with dynamic infusion cavernosometry-cavernosography, 32 (13.4%) developed priapism after the procedure and were successfully managed with immediate intracorporal injection of phenylephrine. No single risk factor for the development of ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199311000-00016

    authors: Fuselier HA Jr,Allen JM,Annaloro A,Morgan JO

    更新日期:1993-11-01 00:00:00

  • Massive hemorrhage in an ileal duplication cyst.

    abstract::We have described massive intermittent intestinal hemorrhage due to a vascular anomaly in an ileal duplication cyst in a 30-year-old man. This unusual case illustrates that these lesions disguise themselves symptomatically and must be considered in the differential diagnosis of gastrointestinal bleeding. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198412000-00039

    authors: Salameh RN,Hausner RJ,Thomas SJ,Johnson CD

    更新日期:1984-12-01 00:00:00

  • Paradoxically developed optochiasmatic tuberculoma and tuberculous lymphadenitis: a case report with 18-month follow up by MRI.

    abstract::We report the first case ofextracranial tuberculous lymphadenitis which paradoxically developed during treatment of intracranial tuberculoma. Our patient, a 15-year-old girl who initially presented with meningitis and intracranial tuberculomas, developed extracranial tuberculomas during treatment for central nervous s...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000209091.57281.23

    authors: Kalkan A,Serhatlioglu S,Ozden M,Denk A,Demirdag K,Yilmaz T,Kilic SS

    更新日期:2006-04-01 00:00:00

  • A National Evaluation of Scholarly Activity Requirement in Osteopathic EM Residency Programs: Survey of EM Program Directors.

    abstract:OBJECTIVES:The objectives of the study were to determine the percentage of osteopathic emergency medicine (EM) residencies that require an original research project to meet the American Osteopathic Association requirement, describe the resources available to the residents and faculty members to complete their projects,...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000967

    authors: Kirkpatrick A,Doran T,Mullins D,Gnugnoli D,Ashurst J

    更新日期:2019-05-01 00:00:00

  • SIADH after subarachnoid hemorrhage and craniotomy.

    abstract::A 64-year-old woman had the syndrome of inappropriate ADH secretion (SIADH) after surgical repair of a ruptured aneurysm of the anterior communicating artery. SIADH began while the intracranial pressure was elevated, and resolved when the pressure returned to normal. Whether this syndrome was caused by direct hypothal...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198007000-00030

    authors: Correa AJ,Rodriquez M,Carey ME

    更新日期:1980-07-01 00:00:00

  • Barrett's esophagus: a multifaceted condition.

    abstract::Five patients with Barrett's esophagus, each with a differing presentation, serve as the basis of this report. Hiatal hernia is noted to be frequently present in Barrett's esophagus, and the incidence of adenocarcinoma is thought to be distinctly increased. The condition is easily diagnosed by fiberoptic endoscopy and...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Burke EL,Mullen JT

    更新日期:1976-03-01 00:00:00

  • Class 4 choledochal cyst.

    abstract::We have described a class 4 choledochal cyst in a 24-year-old black woman treated with choledochocystoduodenostomy. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198605000-00034

    authors: Clark SJ,Shamblin JL Jr

    更新日期:1986-05-01 00:00:00

  • Diagnostic compound B-mode ultrasound scanning in gynecology.

    abstract::Diagnostic compound B-mode ultrasound scans done on gynecologic patients during the past three years were reviewed and compared with surgical findings or clinical follow-up. The 190 scans were analyzed and categorized as diagnostic, compatible (or confirmatory), equivocal, misleading, or negative. Although only 6.4% w...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197803000-00012

    authors: Jamieson AD,Davis RO,Shingleton HM

    更新日期:1978-03-01 00:00:00

  • Fulminant hepatitis induced by lamotrigine.

    abstract::Anticonvulsant hypersensitivity syndrome (AHS) is a potentially life-threatening adverse drug reaction presenting with fever, skin eruptions, and internal organ involvement. We describe a case of AHS with fulminant hepatitis that occurred two weeks after introduction of lamotrigine in a 40-year-old female patient with...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e3181878b95

    authors: Ouellet G,Tremblay L,Marleau D

    更新日期:2009-01-01 00:00:00

  • Echocardiography in planned interruption of the inferior vena cava.

    abstract::Interruption of the inferior vena cava by the transvenous placement of a filter or umbrella effectively prevents pulmonary embolism by acting primarily as a physical barrier to emboli. Such a device will be effective only if the site of thrombosis is distal to the planned placement site. We have presented two cases in...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198906000-00025

    authors: Alberts WM,Tonner JA,Goldman AL

    更新日期:1989-06-01 00:00:00

  • Granulocyte transfusion therapy in children.

    abstract::A prospective study of 45 granulocyte transfusions in children using continuous flow centrifugation is reported. During 13 episodes of proven or presumed infection, only two children failed to show a favorable response to granulocyte transfusion. The neutropenic child shows a significantly increased absolute granulocy...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197703000-00017

    authors: Maybee DA,Millan AP,Ruymann FB

    更新日期:1977-03-01 00:00:00

  • Potential association between calcified thoracic lymphadenopathy due to previous Histoplasma capsulatum infection and pulmonary Mycobacterium avium complex disease.

    abstract:BACKGROUND:Among patients with pulmonary disease due to Mycobacterium avium complex (MAC) seen recently at our center, a substantial number have had extensive calcified mediastinal, hilar, and peribronchial lymphadenopathy, a finding historically inconsistent with pulmonary MAC disease. METHOD:We retrospectively studi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199906000-00005

    authors: Chan ED,Iseman MD

    更新日期:1999-06-01 00:00:00