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Pyometra Perforation Caused by Actinomyces without Intrauterine Device Involvement
1Emergency Unit and Critical Care Center, Tsuyama Central Hospital, 1756 Kawasaki, Tsuyama, Okayama 708-0841, Japan.
Case Reports in Obstetrics and Gynecology
|June 14, 2013
Summary
This study reports a rare case of uterine pyometra perforation caused by Actinomyces in an elderly woman without an intrauterine device (IUD). It highlights Actinomyces as a potential pathogen in pyometra, even without foreign materials.
Area of Science:
- Gynecology
- Infectious Diseases
- Pathogen Research
Background:
- Pyometra is typically associated with Enterobacteriaceae or gastrointestinal anaerobes.
- Actinomyces pyometra cases almost invariably involve an intrauterine device (IUD).
- The virulence of Actinomyces is generally considered low.
Purpose of the Study:
- To report a rare case of pyometra perforation caused by Actinomyces.
- To investigate Actinomyces as a causative agent in pyometra without foreign materials.
Main Methods:
- Case study of an 86-year-old woman with diabetes and decubitus ulcers.
- Diagnosis of pyometra perforation.
- Identification of Actinomyces as the causative pathogen.
- Exclusion of intrauterine devices (IUDs) and other foreign materials.
Main Results:
- Actinomyces was identified as the cause of pyometra perforation.
- No foreign materials, including an IUD, were found in the uterus.
- The patient presented with severe decubitus ulcers, indicating poor daily activity.
Conclusions:
- Actinomyces can cause uterine pyometra and perforation, even in the absence of an intrauterine device (IUD).
- This case underscores the potential virulence of Actinomyces in specific clinical contexts.
- Further research may be needed to understand Actinomyces-induced pyometra without foreign materials.
