Dolgushin, I.I., Kurnosenko, I.V., Dolgushina, V.F., Ugai, I.Yu., Abramovskikh, O.S., Goltsfarb, V.M.

Clinical and immunological aspects of cervicitis of chlamydial etiology

State Medical Academy, Chelyabinsk, Russia

A total of 52 women with established presence of the causative agent of chlamydial infection in the cervical canal were examined. The chlamydial lesion of the cervix uteri was characterized by the absence of clinical manifestations in 25% of cases, faintly pronounced local inflammatory process in the lower part of the genitals in the form of chronic cervititis in 57.7% of cases and the symptoms of subacute cervicitis in 17.3% of cases. In case of a chronic course of chlamydial cervicitis a low content of cytokines IL-1α, IL-1β, TNF-α and an elevated concentration of IL-8 were observed. In the cervical slime of patients with chlamydial cervicitis no changes in the total content of leukocytes were noted in comparison with healthy women, but the number of nitro blue tetrazoliu reducing neutrophils increased, while their functional reserve and phagocytic activity dropped. Autoneutrophilokins used for local immunocorrection in the treatment of women with chlamydial cervicitis produced a normalizing effect on the local infectious protective factors of cervical secretion, thus enhancing the effectiveness of therapy.
Zh. Mikrobiol. (Moscow), 2004, No. 3, P. 48—52