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Pelvic actinomycosis and usage of intrauterine contraceptive devices.
Yale J Biol Med. 1982 Sep-Dec; 55(5-6):453-61.YJ

Abstract

Pelvic inflammatory disease (PID) is one of the most commonly encountered serious infectious disease entities in gynecology. The past decade has witnessed many advances in our understanding of the pathogenesis of PID. It is now evident that such pelvic infections are largely polymicrobial in origin, with major involvement by anaerobic organisms. Salpingo-oophoritis is a part of the spectrum of PID. Included among this group of infections are tubo-ovarian abscesses, traditionally referred to as either gonococcal or non-gonococcal in origin. Within the latter group of infections the importance of anaerobic organisms has also been elucidated. Of particular interest is the reported observation of an increased frequency of salpingo-oophoritis among users of intrauterine devices (IUDs). These reports have noted the specific occurrence of serious pelvic infections due to Actinomyces species, and this will be the topic of the infectious disease conference. Our patient presented with a chronic illness characterized by lethargy, back pain, fever, and anemia; subsequently evaluation disclosed the presence of a large pelvic mass which was confirmed as a tubo-ovarian abscess at surgery. Histological evaluation demonstrated involvement by Actinomyces species. This patient's illness is discussed as a complication of chronic IUD usage with reference to specific management for this emerging problem.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

7183022

Citation

Kelly, J, and J Aaron. "Pelvic Actinomycosis and Usage of Intrauterine Contraceptive Devices." The Yale Journal of Biology and Medicine, vol. 55, no. 5-6, 1982, pp. 453-61.
Kelly J, Aaron J. Pelvic actinomycosis and usage of intrauterine contraceptive devices. Yale J Biol Med. 1982;55(5-6):453-61.
Kelly, J., & Aaron, J. (1982). Pelvic actinomycosis and usage of intrauterine contraceptive devices. The Yale Journal of Biology and Medicine, 55(5-6), 453-61.
Kelly J, Aaron J. Pelvic Actinomycosis and Usage of Intrauterine Contraceptive Devices. Yale J Biol Med. 1982 Sep-Dec;55(5-6):453-61. PubMed PMID: 7183022.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pelvic actinomycosis and usage of intrauterine contraceptive devices. AU - Kelly,J, AU - Aaron,J, PY - 1982/9/1/pubmed PY - 1982/9/1/medline PY - 1982/9/1/entrez KW - Adnexitis KW - Americas KW - Case Studies KW - Connecticut KW - Contraception KW - Contraceptive Methods--complications KW - Developed Countries KW - Diseases KW - Family Planning KW - Incidence KW - Infections KW - Iud--complications KW - North America KW - Northern America KW - Pelvic Infections KW - Pelvic Inflammatory Disease KW - Reproductive Tract Infections KW - Research Methodology KW - Studies KW - Treatment KW - United States SP - 453 EP - 61 JF - The Yale journal of biology and medicine JO - Yale J Biol Med VL - 55 IS - 5-6 N2 - Pelvic inflammatory disease (PID) is one of the most commonly encountered serious infectious disease entities in gynecology. The past decade has witnessed many advances in our understanding of the pathogenesis of PID. It is now evident that such pelvic infections are largely polymicrobial in origin, with major involvement by anaerobic organisms. Salpingo-oophoritis is a part of the spectrum of PID. Included among this group of infections are tubo-ovarian abscesses, traditionally referred to as either gonococcal or non-gonococcal in origin. Within the latter group of infections the importance of anaerobic organisms has also been elucidated. Of particular interest is the reported observation of an increased frequency of salpingo-oophoritis among users of intrauterine devices (IUDs). These reports have noted the specific occurrence of serious pelvic infections due to Actinomyces species, and this will be the topic of the infectious disease conference. Our patient presented with a chronic illness characterized by lethargy, back pain, fever, and anemia; subsequently evaluation disclosed the presence of a large pelvic mass which was confirmed as a tubo-ovarian abscess at surgery. Histological evaluation demonstrated involvement by Actinomyces species. This patient's illness is discussed as a complication of chronic IUD usage with reference to specific management for this emerging problem. SN - 0044-0086 UR - https://www.unboundmedicine.com/medline/citation/7183022/Pelvic_actinomycosis_and_usage_of_intrauterine_contraceptive_devices_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/7183022/ DB - PRIME DP - Unbound Medicine ER -