Mycoplasma genitalium as a Cause of Pelvic Inflammatory Disease

Tiffany Han; Sheila M Nolan; Monique Regard

doi:10.1016/j.jpag.2020.06.015

Mycoplasma genitalium as a Cause of Pelvic Inflammatory Disease

J Pediatr Adolesc Gynecol. 2020 Dec;33(6):739-741. doi: 10.1016/j.jpag.2020.06.015. Epub 2020 Jun 28.

Authors

Tiffany Han¹, Sheila M Nolan², Monique Regard³

Affiliations

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.

PMID: 32610147
DOI: 10.1016/j.jpag.2020.06.015

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.

Keywords: Chronic pelvic pain; Dysmenorrhea; Mycoplasma genitalium; Pelvic inflammatory disease.

Publication types

Case Reports

MeSH terms

Adolescent
Female
Humans
Mycoplasma Infections / complications*
Mycoplasma Infections / diagnosis
Mycoplasma Infections / microbiology
Mycoplasma genitalium / isolation & purification*
Pelvic Inflammatory Disease / diagnosis
Pelvic Inflammatory Disease / etiology*