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[A difficult diagnosis: pelvic-abdominal actinomycosis abscess]
1Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Hôpital Saint-Roch, Nice.
Summary
Intrauterine devices can lead to Actinomycosis, a rare bacterial infection, particularly with long-term use. Prompt surgical intervention and antibiotics are crucial for treating this abdominal abscess.
Area of Science:
- Gynecology
- Infectious Diseases
- Surgical Pathology
Background:
- Intrauterine devices (IUDs) are common contraceptives, but long-term use can be associated with complications.
- Actinomycosis is a bacterial infection caused by Actinomyces species, typically found in the gastrointestinal tract.
Observation:
- A 46-year-old woman with an 8-year history of IUD use presented with abdominal pain and fever.
- Laparotomy revealed an abdominal muscle abscess, with no intestinal perforation.
- Pathology confirmed Actinomycosis, with Actinomyces israelii identified.
Findings:
- Actinomyces israelii, a normal gut flora, can cause infection when present in the vagina, especially with IUDs.
- The risk of Actinomycosis increases with IUD duration and is associated with compromised immunity or cofactors.
- This case highlights a rare complication of long-term intrauterine device use.
Implications:
- Early diagnosis and treatment of Actinomycosis are essential for patient recovery.
- Management involves surgical removal of the infected tissue and prolonged antibiotic therapy.
- Further research into the pathogenesis and prevention of IUD-associated Actinomycosis is warranted.