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Published on: May 23, 2014
[Endometrial actinomycosis. Two case reports]
Samia Chatti1, Khédija Bellil, Selma Bellil
1Service d'Anatomie et de Cytologie Pathologiques, Hôpital la Rabta, Tunis, Tunisie.
Abstract:
Actinomyces is an aerobic, Gram positive bacteria saprophyte of the genital tract. The endometrial involvement is extremely rare. The authors report two cases of pelvic actinomycosis in a 58 and 55 year old women, the second using intrauterine device for 11 years.
Insights
Pelvic actinomycosis, a rare endometrial infection caused by Actinomyces bacteria, is presented in two women. One case involved long-term intrauterine device use, highlighting a potential risk factor for this uncommon condition.
Area of Science:
- Gynecology
- Microbiology
- Infectious Diseases
Background:
- Actinomyces are Gram-positive, aerobic bacteria typically found as commensal organisms in the female genital tract.
- Endometrial involvement by Actinomyces is exceptionally rare, with limited reported cases in medical literature.
Observation:
- Two cases of pelvic actinomycosis are described in postmenopausal women aged 58 and 55.
- The second patient had a history of using an intrauterine device (IUD) for 11 years, suggesting a potential association.
Findings:
- The study highlights the rare occurrence of Actinomyces infection within the endometrium, leading to pelvic actinomycosis.
- The prolonged use of an intrauterine device may be a predisposing factor for the development of this infection.
Implications:
- Increased awareness of pelvic actinomycosis is crucial for gynecologists and infectious disease specialists.
- Further research may be warranted to elucidate the role of intrauterine devices in the pathogenesis of Actinomyces infections.
