A Practical Approach to the Diagnosis of Pelvic Inflammatory Disease
Table 2
Signs and tests to increase the specificity of a diagnosis of salpingitis.
An additional sign and abnormal laboratory tests increase the specificity of the diagnosis of PID:
(i) Oral temperature >101 F (>38.3°C)
(ii) Elevated C-reactive protein (CRP)
(iii) Laboratory documentation of cervical Neisseria gonorrhoeae or Chlamydia trachomatis.
The most specific criteria for diagnosis of PID include:
(i) Endometrial biopsy with histologic evidence of endometritis
(ii) Transvaginal sonography or MRI showing thickened, fluid-filled tubes with or without free pelvic or tuboovarian complex or dopplers studies suggesting pelvic infection (tubal hyperemia)
(iii) Laparoscopic abnormalities consistent with PID
