Tiffany Han1, Sheila M Nolan2, Monique Regard3. 1. Department of Pediatrics, Westchester Medical Center, Valhalla, NY. Electronic address: Han.tiff98@gmail.com. 2. Division of Infectious Diseases, Department of Pediatrics, New York Medical College, Valhalla, NY. 3. Chief of Section of Pediatric Gynecology, Department of OB/GYN, New York Medical College, Valhalla, NY.
Abstract
BACKGROUND: Mycoplasma genitalium is an increasingly recognized cause of pelvic inflammatory disease (PID). CASE: A 17-year-old female adolescent presented with chronic pelvic pain and dysmenorrhea. Test results for Chlamydia trachomatis and Neisseria gonorrhea were negative, and multiple radiologic test results were normal. The patient failed several empiric courses of therapy over 1 year. Laparoscopy revealed findings consistent with PID. Nucleic acid amplification test results were positive for M genitalium. SUMMARY AND CONCLUSION: M genitalium causing PID can be challenging to diagnose because of its often atypical presentation. Further epidemiological studies are needed to understand the burden of disease and to establish testing and treatment guidelines.
BACKGROUND:Mycoplasma genitalium is an increasingly recognized cause of pelvic inflammatory disease (PID). CASE: A 17-year-old female adolescent presented with chronic pelvic pain and dysmenorrhea. Test results for Chlamydia trachomatis and Neisseria gonorrhea were negative, and multiple radiologic test results were normal. The patient failed several empiric courses of therapy over 1 year. Laparoscopy revealed findings consistent with PID. Nucleic acid amplification test results were positive for M genitalium. SUMMARY AND CONCLUSION: M genitalium causing PID can be challenging to diagnose because of its often atypical presentation. Further epidemiological studies are needed to understand the burden of disease and to establish testing and treatment guidelines.