Pelvic Actinomycosis, Importance of a Suspected Diagnosis and Clinical Follow-up: A Case Report
Journal: Advances in Medicine and Engineering Interdisciplinary Research DOI: 10.32629/ameir.v2i4.2815
Abstract
Actinomycosis is a chronic granulomatous bacterial infection caused by the actinomyces species which frequently manifests as cervicofacial , thoracoabdominal or pelvic infections, the latter being the least frequent. There is a strong association between long term intrauterine device (IUD) use and the development of this infection. It is characterized by the formation of slow-growing abscesses that can reach large dimensions, generating an insidious and non-specific clinical presentation. Due to the above, the diagnosis is commonly late with a direct impact on the associated complications. Antibiotic treatment is usually prolonged and surgical interventions are sometimes required. We present the case of an IUD using patient who, after several months of symptoms, was hospitalized with the diagnosis of pelvic actinomycosis. The patient evolves favorably with abbreviated antibiotic treatments and outpatient clinical follow-up.
Keywords
actinomycosis; pelvic inflammatory disease; intrauterine device; case reports
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[3] Sánchez Guzmán AV, Mora Calderón A. Actinomicosis pélvica: relacióncon dispositivos intrauterinos. Rev Clin Esc Med UCR-HSJD. 2015;5(5):11-15. doi: 10.15517/rc_ucr-hsjd.v5i5.21699
[4] Daniels P, Correa E, Goity C. Actinomicosis pelviana: caso clínico. Rev Chil Obstet Ginecol. 2013;78(1):48-50. doi: 10.4067/S0717-75262013000100008
[5] Han Y, Cao Y, Zhang Y, Niu L, Wang S, Sang C. A case report of pelvic actinomycosis and a literature review. Am J Case Rep. 2020;21:e922601. doi: 10.12659/AJCR.922601
[6] Bustos-Moya G, Josa-Montero D, Perea-Ronco J, Gualtero-Trujillo S. Enfermedad pélvica inflamatoria por Actinomyces sp. en paciente condispositivo intrauterino: reporte de un caso. Infect. 2016;20(1):33-36.doi: 10.1016/j.infect.2015.07.005
[7] Suárez M, Estrada E, Espada E. Prevalencia de actinomicosis uterina yanexos en el período 1996-2002, Provincia de Ciego de Ávila, Cuba. Bol Micol. 2004;19:19-21. doi. 10.22370/bolmicol.2004.19.0.290
[8] García-García A, Ramírez-Durán N, Sandoval-Trujillo H, Romero Figueroa MDS. Pelvic Actinomycosis. Can J Infect Dis Med Microbiol. 2017:9428650. doi: 10.1155/2017/9428650
[9] Lee IJ, Ha HK, Park CM, Kim JK, Kim JH, Kim TK, et al. Abdominopelvic actinomycosis involving the gastrointestinal tract: CT features. Radiology. 2001;220(1):76-80. doi: 10.1148/radiology.220.1.r01jl1376
[10] Hamid D, Baldauf JJ, Cuenin C, Ritter J. Treatment strategy for pelvic actinomycosis: case report and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2000;89(2):197-200. doi: 10.1016/s0301-2115(99)00173-6
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