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[Actinomycosis of the pelvis with an indwelling IUD]
Abstract:
Infection with actinomycosis israeli (an anaerobic, gram-positive bacterium) presents as chronic inflammation with tendency to fibrosis and suppuration with formation of external sinuses. Cervicofacial, thoracic and abdominal forms of the disease made up 95% of cases of actinomycosis. A 53-year-old woman was admitted to the hospital because of a pelvic mass which was thought to be malignant. A laparotomy was performed and the histologic examination showed actinomycosis. The patient first received penicillin followed by tetracyclin and the pelvic mass shrunk. One year later no more mass was detectable. We think that the IUP in place over years is the source for this infection.
Insights
Actinomycosis infection, often presenting in the head, chest, or abdomen, can manifest as a pelvic mass. This case highlights a pelvic actinomycosis infection potentially linked to an intrauterine device (IUD), successfully treated with antibiotics.
Area of Science:
- Infectious Diseases
- Microbiology
- Gynecology
Background:
- Actinomycosis is a chronic inflammatory infection caused by anaerobic, gram-positive bacteria.
- Commonly presents in cervicofacial, thoracic, or abdominal regions, accounting for 95% of cases.
- Pelvic actinomycosis is less common but can mimic malignant masses.