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Pelvic actinomycosis: a case report.

Terry S Dunn1, Clay Cothren, Laura Klein

  • 1Department of Obstetrics and Gynecology, University of Colorado Health Science Center, Denver, Colorado, USA. tdunn@dhha.org

The Journal of Reproductive Medicine
|June 20, 2006
PubMed
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Pelvic actinomycosis, a rare infection associated with intrauterine devices (IUDs), can occur even after IUD removal. Prompt diagnosis and treatment are crucial to prevent severe complications.

Area of Science:

  • Gynecology
  • Infectious Diseases
  • Microbiology

Background:

  • Pelvic actinomycosis is an uncommon condition with varied clinical presentations.
  • Actinomyces species are known to be associated with the use of intrauterine devices (IUDs).

Observation:

  • A 28-year-old woman with an intrauterine device (IUD) presented with an incomplete abortion.
  • Following IUD removal, she developed symptoms consistent with pelvic inflammatory disease.
  • Pathology revealed diffuse actinomycosis of the pelvic organs, appendix, and bowel mucosa.

Findings:

  • Actinomyces infection was confirmed via Pap smear prior to the diagnosis of pelvic actinomycosis.
  • The infection persisted and disseminated despite the removal of the intrauterine device (IUD).

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Implications:

  • Intrauterine device (IUD) use is a risk factor for pelvic actinomycosis.
  • Removal of the IUD may not be sufficient for treating established actinomycosis.
  • Early diagnosis and aggressive antibiotic therapy are essential for managing pelvic actinomycosis and preventing complications.