Oligoarthritis associated with a “forgotten” IUD – a case report


IUD, infection related arthritis, reactive arthritis

How to Cite

Tanev, D., Robeva, R., Hassan, I., & Marinchev, L. (2020). Oligoarthritis associated with a “forgotten” IUD – a case report. Rheumatology (Bulgaria), 28(1), 60-65. https://doi.org/10.35465/28.1.2020.pp60-65


Reactive arthritis has been defined as an aseptic inflammatory arthritis associated with a concomitant infectious disease. Usually, the symptoms develop during or soon after a symptomatic infectious disease, however, in both sexes genitourinary infections might be asymptomatic. 

Herein, we presented a case of a 68-year old woman with oligoarthritis associated with a “forgotten” intrauterine device (IUD). The IUD was successfully removed by laparoscopy leading to a full resolution of symptoms and improvement of inflammatory markers.

The presented case shows that asymptomatic genital infection should be considered in case of suspected infection-related arthritis without clear etiological cause, especially in women with IUD. The in-depth training of patients regarding the proper use of contraception methods as well as the regular gynaecological examinations might help to prevent further similar cases.



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