Fatal cervicitis caused by Metallo-β-Lactamase (MBL) strain of Pseudomonas aeruginosa

Symptoms suggestive of a lower genital tract infection (LGTI) are common complaints in women who consult gynaecologists. Inflammation of the endocervix (cervicitis) is usually found in those cases, when vaginal speculum examination is being done. Cervicitis is commonly seen in women during their child bearing period. Acute cervicitis is commonly caused by Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis and is non-fatal. However, rarely cervicitis may be caused by organisms like Citrobacter spp, Enterobacter spp, and Pseudomonas spp. Infections caused by Pseudomonas aeruginosa are often hard to treat because of both the intrinsic resistance of the species and its remarkable ability to acquire further resistance mechanisms to multiple groups of antimicrobial agents, including β-lactams, aminoglycosides and fluoroquinolones. In this report, a fatal case of cervicitis caused by metallo-β-lactamase (MBL) strain of Pseudomonas aeruginosa in a 35 years old woman is being presented.