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.

中文翻译：

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生殖支原体是盆腔炎的原因。

背景

生殖道支原体是越来越多的盆腔炎的病因。

案件

一名17岁的青春期女性表现出慢性盆腔疼痛和痛经。用于测试沙眼衣原体和淋病奈瑟菌均为阴性。多项放射学检查均正常，且患者在1年内几次经验疗程均失败。腹腔镜检查发现与盆腔炎相符的发现。NAAT生殖器支原体返回阳性。

总结与结论

由于生殖道支原体通常表现为非典型性，因此可能难以诊断为PID。需要进一步的流行病学研究，以了解疾病的负担并建立测试和治疗指南。