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Related Experiment Videos

Case report: pelvic actinomycosis.

K Maxová1, E Menzlová, D Kolařík

  • 1Department of Obstetrics and Gynaecology, Charles University, Prague, Czech Republic. kacabamaxa@centrum.cz

Prague Medical Report
|March 1, 2012
PubMed
Summary
This summary is machine-generated.

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Pelvic actinomycosis, a rare infection often mimicking tumors, was diagnosed in a woman using imaging and histology. Long-term antibiotic treatment was initiated for this challenging pelvic actinomycosis case.

Area of Science:

  • Gynecology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Pelvic actinomycosis is a rare bacterial infection caused by Actinomyces species.
  • It can present insidiously and mimic other pelvic pathologies, including malignancy.
  • Intrauterine devices (IUDs) are a known risk factor for pelvic actinomycosis.

Observation:

  • A 42-year-old female presented with a 5-week history of pelvic pain and a palpable 9 cm mass between her rectus muscles.
  • The patient had an intrauterine device (IUD) removed 3 weeks prior to presentation.
  • Diagnostic workup included ultrasound, magnetic resonance imaging (MRI), and histology.

Findings:

  • Imaging revealed a complex pelvic mass, raising suspicion for malignancy.
  • Histological examination and/or anaerobic culture confirmed the presence of Actinomyces granules, establishing the diagnosis of pelvic actinomycosis.

Related Experiment Videos

  • Actinomycosis can present as a challenging differential diagnosis in patients with pelvic masses.

    • Implications:

    • Early and accurate diagnosis of pelvic actinomycosis is crucial for appropriate management.
    • Definitive diagnosis relies on microbiological or histological evidence of Actinomyces.
    • Prolonged antibiotic therapy is the mainstay of treatment for pelvic actinomycosis.