RT Journal Article SR Electronic T1 Detection of Mycoplasma genitalium in women with laparoscopically diagnosed acute salpingitis JF Sexually Transmitted Infections JO Sex Transm Infect FD BMJ Publishing Group Ltd SP 463 OP 466 DO 10.1136/sti.2005.015701 VO 81 IS 6 A1 Cohen, C R A1 Mugo, N R A1 Astete, S G A1 Odondo, R A1 Manhart, L E A1 Kiehlbauch, J A A1 Stamm, W E A1 Waiyaki, P G A1 Totten, P A YR 2005 UL http://sti.bmj.com/content/81/6/463.abstract AB Objectives:Mycoplasma genitalium has been associated with cervicitis, endometritis, and tubal factor infertility. Because the ability of this bacterium to ascend and infect the fallopian tube remains undefined, we performed an investigation to determine the prevalence of M genitalium in fallopian tube, endometrial, and cervical specimens from women laparoscopically diagnosed with acute salpingitis in Nairobi, Kenya. Methods: Women presenting with pelvic inflammatory disease were laparoscopically diagnosed with salpingitis. Infection with M genitalium in genital specimens was determined by polymerase chain reaction (PCR). Results: Of 123 subjects with acute salpingitis, M genitalium was detected by PCR in the cervix and/or endometrium in nine (7%) participants, and in a single fallopian tube specimen. In addition, those infected with M genitalium were more often HIV infected than women not infected by M genitalium (seven of nine (78%) v 42 of 114 (37%), p<0.03). Conclusions:M genitalium is able to ascend into the fallopian tube, but its association with tubal pathology requires further investigation.