Document Detail

Treatment strategy for pelvic actinomycosis: case report and review of the literature.
MedLine Citation:
PMID:  10725583     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Pelvic actinomycosis is a chronic granulomatous suppurative disease caused by an anaerobic Gram positive organism Actinomyces israelii usually associated with intra-uterine devices. Pelvic actinomycosis can mimick pelvic or intra-abdominal malignancy leading to mutilating surgical exeresis.
RESULTS: We present a pelvic actinomycosis secondary to long-standing intra-uterine device use in a 50-year old European woman treated by intravenous antibiotic therapy, and then by a total abdominal hysterectomy and bilateral salpingoophorectomy to free the pelvis from abscess. We point out the difficulty in diagnosis, and the importance of high-dose intravenous antibiotic therapy to reduce the very high risk for nearby pelvic structure injuries, reported in the literature, leading to post-operative morbidity.
D Hamid; J J Baldauf; C Cuenin; J Ritter
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  89     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-06-01     Completed Date:  2000-06-01     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  197-200     Citation Subset:  IM    
Department of Obstetrics and Gynecology. University Hospital of Strasbourg, 67098, Strasbourg, France.
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MeSH Terms
Actinomycosis / diagnosis,  therapy*
Adnexal Diseases / diagnosis,  therapy*
Anti-Bacterial Agents / therapeutic use
Intrauterine Devices / adverse effects*
Middle Aged
Reg. No./Substance:
0/Anti-Bacterial Agents

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