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Pelvic actinomycosis.

B Gorisek1, H Rebersek-Gorisek, R Kavalar

  • 1Department of Gynecology and Perinatology, Maribor Teaching Hospital, Slovenia.

Wiener Klinische Wochenschrift
|September 14, 1999
PubMed
Summary

Pelvic actinomycosis, a rare infection linked to long-term intrauterine device (IUD) use, presents diagnostic challenges. Early diagnosis and treatment with antibiotics like penicillin are crucial for managing this condition.

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Area of Science:

  • Gynecology
  • Infectious Diseases
  • Pathology

Background:

  • Pelvic actinomycosis is a rare, chronic infection caused by Actinomycetaceae bacteria.
  • Prolonged intrauterine contraceptive device (IUD) use is a significant risk factor.
  • This condition often poses diagnostic difficulties.

Observation:

  • This report details six cases of pelvic actinomycosis.
  • All patients had an IUD in place for over six years.
  • Diagnosis was challenging, requiring laparotomy in all cases.

Findings:

  • Pathohistological examination, including specific staining, confirmed the diagnosis.
  • Microscopic findings were characteristic of actinomycosis.
  • Treatment involved several months of penicillin and amoxycillin therapy.

Implications:

  • Highlights the importance of considering pelvic actinomycosis in women with long-term IUD use.
  • Emphasizes the diagnostic difficulties and the need for thorough histopathological evaluation.
  • Suggests antibiotic therapy, particularly penicillin-based regimens, is effective for pelvic actinomycosis.

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