. Pelvic inflammation in women. fec-tion; while, according to Cur-tis, the normal corporeal mu-cosa is practically immune toinfection. Etiology. — The organ-isms most commonly found tobe the infecting agents in en-docervicitis are the gonococ-cus, staphylococcus, strepto-coccus and colon bacillus. Thegonocbccus and the staphylo-coccus are by far the mostprevalent. Trauma, lacerationsduring childbirth or the resultof instrumental delivery, cau-terization, or the constant irritation of a stem pessary, may open upavenues of entrance for infection, and are thus predisposing factors inthe productio
. Pelvic inflammation in women. fec-tion; while, according to Cur-tis, the normal corporeal mu-cosa is practically immune toinfection. Etiology. — The organ-isms most commonly found tobe the infecting agents in en-docervicitis are the gonococ-cus, staphylococcus, strepto-coccus and colon bacillus. Thegonocbccus and the staphylo-coccus are by far the mostprevalent. Trauma, lacerationsduring childbirth or the resultof instrumental delivery, cau-terization, or the constant irritation of a stem pessary, may open upavenues of entrance for infection, and are thus predisposing factors inthe production of chronic cervical inflammation. But trauma is onlya contributory cause, for as Sturmdorf so aptly says, the dominatingpathologic factor that determines the morbidity of a cervical lacerationis not the extent of the tear, but the incidence of its infection. Suchan infection does not remain limited to the lacerated area, but sooneror later involves the entire endocervical mucosa and the subjacent tissuefrom the internal Fig. 3.—Cystic Cervicitis Resulting from In-fection OF A Cervix Laceration. i6 PELVIC INFLAMMATION IN WOMEN In children, vulvovaginitis or the exanthemata, particularly diphtheriaand scarlet fever, and the general debilitating diseases may produce in thecervix a lowered tissue resistance, increasing its susceptibility to mixedinfections. Hess says that we must regard the average gonorrheal vul-vovaginitis in children as involving the cervix rather than the vagina,and must consider the infection as a cervicitis rather than a vaginitis. As we have already stated, acute endocervicitis and cervicitis occurin the course of acute gonorrheal and puerperal infections of the uterus,but are seldom recognized as definite pathological entities, as their symp-tomatology is masked by the more extensive lesion in the uterus. Pathology.—The mucosa of the cervix, when it is a seat of chronicinfection, becomes swollen and everted, while the mucosa of the portioabout
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