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[Pelvic actinomycosis and sub-acute abdomen]
E M Messalli1, L Cobellis, B Festa
1Dipartimento Universitario di Scienze Ginecologiche, Ostetriche e della Riproduzione, Seconda Università degli Studi di Napoli, Naples, Italy. EnricoM.Messalli@unina2.it
Minerva Ginecologica
|November 15, 2002
Summary
Pelvic actinomycosis, a rare infection, can present unusually. Early diagnosis and prevention are crucial, especially with changing sexual habits potentially increasing its incidence.
Area of Science:
- Gynecology
- Infectious Diseases
- Pathology
Background:
- Pelvic actinomycosis is a rare bacterial infection, often associated with intrauterine devices (IUDs).
- Long-term IUD use can increase the risk of developing this condition.
- Changing sexual habits may influence the incidence of pelvic actinomycosis.
Observation:
- A 42-year-old female presented with abdominal and pelvic pain, and fever.
- Initial diagnosis suggested subacute abdomen, leading to exploratory laparotomy.
- During surgery, atypical reactive tissue and a suppurative cavity were identified.
Findings:
- Histological examination of tissue biopsy confirmed pelvic actinomycosis.
- The case highlights a peculiar clinical manifestation of the disease.
- Long-term IUD presence was a significant factor in the patient's history.
Implications:
- This case underscores the need for improved prevention strategies for pelvic actinomycosis.
- Increased awareness is necessary among healthcare providers regarding this condition.
- Further research into the link between changing sexual habits and actinomycosis incidence is warranted.