title: Pseudomonas aeruginosa-infected IUD associated with pelvic inflammatory disease. A case report.
abstract: BACKGROUND
  While pelvic infection is known to be an infrequent complication of intrauterine device (IUD) use, infections are usually related to microorganisms introduced at the time of insertion or by sexual contact.
  
  
  METHODS
  We diagnosed a 35-year-old woman with an IUD for 6 years with pelvic inflammatory disease (PID) and implemented antibiotic therapy. Her clinical course worsened, and exploratory surgery revealed a right tuboovarian abscess with multiple loculated pelvic abscesses. Culture of the IUD found heavy growth of Pseudomonas aeruginosa.
  
  
  CONCLUSIONS
  P aeruginosa has not previously been described in association with infections of the upper female genital tract. Double coverage with appropriate antipseudomonal agents is essential for proper treatment of pseudomonal infections.
authors.affiliation: Department of Obstetrics and Gynecology, David Grant Medical Center, Travis Air Force Base, CA 94535, USA. jeremy.king@60mdg.travis.af.mil
authors.forename: Jeremy A
authors.initials: JA
authors.lastname: King
authors.forename: Tandy G
authors.initials: TG
authors.lastname: Olsen
authors.forename: Rachel
authors.initials: R
authors.lastname: Lim
authors.forename: Lawrence R
authors.initials: LR
authors.lastname: Nycum
mesh_terms: D000038:Abscess / Q000209:etiology / Q000382:microbiology*; D000328:Adult; D005184:Fallopian Tube Diseases / Q000209:etiology / Q000382:microbiology*; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects* / Q000382:microbiology; D010049:Ovarian Diseases / Q000209:etiology / Q000382:microbiology*; D000292:Pelvic Inflammatory Disease / Q000209:etiology / Q000382:microbiology*; D011552:Pseudomonas Infections / Q000150:complications* / Q000209:etiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification / Q000472:pathogenicity*