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Abdominal wall Actinomyces abscess associated with an intrauterine device. A case report
M Pearlman1, A C Frantz, W S Floyd
1Department of Obstetrics and Gynecology, William Beaumont Hospital, Royal Oak, Michigan.
Abstract:
An abdominal wall Actinomyces abscess occurred in a woman with an intrauterine device. Contributing factors were local trauma, spread from surrounding colonized body sites and symbiotic growth of other anaerobes. The diagnosis was based on the histologic finding of the sulfur granule. Special studies may be needed to distinguish this condition from other, similar ones (Nocardia, botryomycosis).
Insights
An abdominal wall Actinomyces abscess, linked to an intrauterine device, highlights the importance of considering actinomycosis in diagnosis. Histologic sulfur granules are key for identifying this rare bacterial infection.
Area of Science:
- Medical Microbiology
- Surgical Pathology
Background:
- Actinomycosis is a rare bacterial infection caused by Actinomyces species.
- Intrauterine devices (IUDs) are a known risk factor for pelvic actinomycosis.
Observation:
- A case of abdominal wall Actinomyces abscess in a woman with an intrauterine device is presented.
- Contributing factors included local trauma and spread from colonized sites.
Findings:
- The diagnosis was confirmed by the characteristic histologic finding of sulfur granules.
- Differential diagnosis includes Nocardia infections and botryomycosis, requiring special studies.
Implications:
- This case underscores the need to consider actinomycosis in the differential diagnosis of abdominal masses, especially in IUD users.
- Prompt diagnosis and treatment are crucial to prevent complications.