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[Ovarian actinomycosis]

N Behrendt1, L Eriksen

  • 1Patologisk-anatomisk Institut og gynaekologisk afdeling, Amtssygehuset i Gentofte.

Ugeskrift for Laeger
|December 19, 1994
PubMed
Summary
This summary is machine-generated.

A rare adnexal tumor was caused by Actinomyces Israelii in a woman using an intrauterine device (IUD). This case highlights the importance of considering actinomycosis in adnexal masses, especially with long-term IUD use.

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Area of Science:

  • Gynecologic Oncology
  • Infectious Diseases
  • Microbiology

Background:

  • Actinomyces Israelii is a bacterium known to cause actinomycosis, a rare infection.
  • Adnexal tumors can have various etiologies, including infectious causes.
  • Intrauterine devices (IUDs) are associated with an increased risk of pelvic actinomycosis.

Observation:

  • A 39-year-old woman presented with persistent fever and a palpable right adnexal mass.
  • The patient had a history of 11 years of IUD usage.
  • She had undergone a hysterectomy for uterine fibromyomas nine months prior to admission.

Findings:

  • Histopathological examination revealed the adnexal tumor was caused by Actinomyces Israelii.
  • The findings suggest a link between long-term IUD use and the development of actinomycotic adnexal masses.

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Implications:

  • This case underscores the need to consider Actinomyces Israelii as a potential cause of adnexal tumors, particularly in women with prolonged IUD use.
  • Early diagnosis and appropriate antibiotic treatment are crucial for managing actinomycosis.
  • Further research may elucidate the precise mechanisms by which IUDs contribute to Actinomyces Israelii infections in the adnexa.