No abstract

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.