A Case of Pelvic Actinomycosis Occured After Termination of Pregnancy and L/S

Ko, Y G; Yi, W H; Rhee, K W; Kim, S J; Joo, I M; Cho, H D

Abstract

Actinomycosis is a chronic suppurative and granulomatous disease characterized by formation of multiple abscesses and sinus tracts. Actinomyces species are gram-positive, non-acid fast anaerobic bacteria that exhibit branching, filamentous growth. They are normal inhabitants of the human gastrointestinal tract, in both oropharynx and bowel. Actinomyces israelii is the most common agent in human disease. In most instance, pelvic actinomycosis is related to IUD and the colonization rate appear to increase with the duration of IUD. The relatively high cervicovaginal actinomyces colonization rate suggests that all patients with IUDs should undergo annual cytologic smear, with specific attention given to the presence of actinomyces. The authors are experienced a case of pelvic actinomycosis and reported with a review of literature.