Korean J Obstet Gynecol.  2002 Aug;45(8):1416-1420.

A Case Of Pelvic Actinomycosis Associated With An Intrauterine Contraceptive Device

Affiliations
  • 1Department of Obstetrics and Gynecology, Busan Medical Center, Busan, Korea.

Abstract

Actinomycosis is a chronic, progressive, suppurative, indolent disease which appears to be difficult to establish a correct preoperative diagnosis. Bacause pelvic actinomycosis has variable nonspecific clinical manifestations. A cause of pelvic actinomycosis is secondary to the seeding of upper genital tract from other intraabdominal or hematogenous dissemination, especially, ascending pelvic actinomycosis is related to a long time intrauterine device (IUD) inserted state. The causative agent is a branching, gram positive anaerobic or microaerobic organism, not fung. We experienced a case of actinomycosis in IUD user, discovered pathologically on endocervical currettage, thereafter managed with high dose penicillin, followed up with periodic imaging studies.

Keyword

pelvic actinomycosis; intrauterine device; tuboovarian abscess

MeSH Terms

Actinomycosis*
Diagnosis
Intrauterine Devices*
Penicillins
Penicillins
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