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Pelvic actinomycosis: a case report.
J Reprod Med. 2006 May; 51(5):435-7.JR

Abstract

BACKGROUND

Pelvic actinomycosis is rare but can manifest with multiple presentations.

CASE

A 28-year-old woman, gravida 4, para 2, conceived with a Paraguard intrauterine device (IUD) (FEI Products LLC, North Tonawanda, New York) in place. The IUD had been present for 2 years. The patient presented with an incomplete abortion at 6 weeks' gestation, and the IUD was removed. Two and one-half months later the patient presented with signs and symptoms of pelvic inflammatory disease and underwent hospitalization and exploratory laparotomy. The pathology specimen revealed diffuse actinomycosis involving the tube and ovary, appendix, and bowel mucosa. A Pap smear 3 months earlier had revealed Actinomyces.

CONCLUSION

Actinomyces has been associated with IUD use and may present even after removal of the IUD. Pelvic actinomycosis is rare, and removal of the IUD may not be adequate treatment. If a patient presents with symptoms of infection, early diagnosis and aggressive antibiotics may prevent further complications.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of Colorado Health Science Center, Denver, Colorado, USA. tdunn@dhha.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16779994

Citation

Dunn, Terry S., et al. "Pelvic Actinomycosis: a Case Report." The Journal of Reproductive Medicine, vol. 51, no. 5, 2006, pp. 435-7.
Dunn TS, Cothren C, Klein L, et al. Pelvic actinomycosis: a case report. J Reprod Med. 2006;51(5):435-7.
Dunn, T. S., Cothren, C., Klein, L., & Krammer, T. (2006). Pelvic actinomycosis: a case report. The Journal of Reproductive Medicine, 51(5), 435-7.
Dunn TS, et al. Pelvic Actinomycosis: a Case Report. J Reprod Med. 2006;51(5):435-7. PubMed PMID: 16779994.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pelvic actinomycosis: a case report. AU - Dunn,Terry S, AU - Cothren,Clay, AU - Klein,Laura, AU - Krammer,Tara, PY - 2006/6/20/pubmed PY - 2006/10/25/medline PY - 2006/6/20/entrez SP - 435 EP - 7 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 51 IS - 5 N2 - BACKGROUND: Pelvic actinomycosis is rare but can manifest with multiple presentations. CASE: A 28-year-old woman, gravida 4, para 2, conceived with a Paraguard intrauterine device (IUD) (FEI Products LLC, North Tonawanda, New York) in place. The IUD had been present for 2 years. The patient presented with an incomplete abortion at 6 weeks' gestation, and the IUD was removed. Two and one-half months later the patient presented with signs and symptoms of pelvic inflammatory disease and underwent hospitalization and exploratory laparotomy. The pathology specimen revealed diffuse actinomycosis involving the tube and ovary, appendix, and bowel mucosa. A Pap smear 3 months earlier had revealed Actinomyces. CONCLUSION: Actinomyces has been associated with IUD use and may present even after removal of the IUD. Pelvic actinomycosis is rare, and removal of the IUD may not be adequate treatment. If a patient presents with symptoms of infection, early diagnosis and aggressive antibiotics may prevent further complications. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/16779994/Pelvic_actinomycosis:_a_case_report_ L2 - http://www.diseaseinfosearch.org/result/414 DB - PRIME DP - Unbound Medicine ER -