Pelvic inflammatory disease is an infectious and inflammatory disease of the upper female genital tract, including the uterus, fallopian tubes, and adjacent pelvic structures.
Chlamydia trachomatous is the most common causative organism of pelvic inflammatory disease.
Others include Neisseria gonorrheae, Gardnerella vaginosis, Hemophilus influenzae, and anaerobes such as Peptococcus and bacteroid species.
About 30 to 40% cases of pelvic inflammatory disease are polymicrobial, meaning that multiple organisms are involved.

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