MYCOPLASMA GENITALIUM AS A CAUSE OF PELVIC INFLAMMATORY DISEASE.J Pediatr Adolesc Gynecol. 2020 Jun 28 [Online ahead of print]JP
Mycoplasma genitalium is an increasingly recognized cause of pelvic inflammatory disease.
A 17-year-old adolescent female presented with chronic pelvic pain and dysmenorrhea. Testing for Chlamydia trachomatis and Neisseria gonorrhea were negative. Multiple radiologic tests were normal and the patient failed several empiric courses of therapy over 1 year. Laparoscopy revealed findings consistent with pelvic inflammatory disease. NAAT returned positive for Mycoplasma genitalium.
SUMMARY AND CONCLUSION
Mycoplasma genitalium causing PID can be challenging to diagnose due to its often atypical presentation. Further epidemiological studies are needed to understand the burden of disease and to establish testing and treatment guidelines.