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

A Case Of Pelvic Actinomycosis Associated With An Intrauterine Contraceptive Device

• Lee JS
• Kim MJ
• Kim JH
• Lee CK
• Lee SY
• Song IC

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