[IUD and Actinomyces].

Tidsskr Nor Laegeforen

Published: March 1981

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Pelvic actinomycosis: A hidden threat mimicking pelvic tumors.

Radiol Case Rep

January 2025

Department of Radiology, National Institute of Oncology, UHC Ibn Sina, Mohamed V University, Rabat, Morocco.

Actinomycosis is a suppurative granulomatous infection caused by the Gram-positive bacillus Actinomyces israelii. It rarely affects the pelvis, but its incidence appears to be increasing, possibly due to the frequent use of intrauterine devices (IUDs). We report the case of a patient with an IUD in place for over 10 years who presented with pelvic pain, general health deterioration, and imaging findings suggesting a neoplastic origin.

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spp. has been shown to form biofilms when exposed to copper, possibly enhancing its degradation. Fragmentation and migration of the copper coil on an intrauterine device (IUD) is rare, but the concomitant presence of spp.

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Actinomyces can cause severe infections in the gynecological tract, such as pelvic inflammatory disease (PID) and tubo-ovarian abscess. It's essential to accurately diagnose actinomycotic granules (AMGs) in gynecological specimens to ensure proper treatment, significantly differentiating them from pseudoactinomycotic radiate granules (PAMRAGs), a non-pathologic condition. This article describes a case of a 61-year-old postmenopausal woman with an intrauterine device (IUD) who was diagnosed with PAMRAGs in an endometrial biopsy specimen.

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Confused Images Confused Eyes: A Case of Ultrasound Misdiagnosis of Pelvic Actinomycosis.

Diagnostics (Basel)

August 2024

Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital (SAMS & SPPH, Affiliated Hospital of UESTC), Chengdu 610014, China.

Article Synopsis
  • The article discusses a case of pelvic actinomycosis in a 52-year-old woman, initially misdiagnosed as an ovarian malignant tumor due to similar symptoms and imaging results.
  • The patient's condition involved symptoms such as difficulty defecating, abdominal pain, and abnormal findings in biopsies and imaging, leading to the identification of Actinomyces infection.
  • Treatment with penicillin and removal of her intrauterine device (IUD) significantly improved her health, highlighting the importance of recognizing actinomycosis in patients with abdominal masses and prior IUD use.
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Article Synopsis
  • Actinomycosis is a rare bacterial infection that can cause lesions and abscesses in areas like the cervicofacial, abdominal, and thoracic regions, often resembling tumors.
  • A case study involved a woman with an IUD who experienced an abdominal abscess, initially misdiagnosed as a tumor but later confirmed as an Actinomyces Israelii infection through biopsy.
  • Treatment involved removing the IUD and administering penicillin, highlighting that pelvic actinomycosis is uncommon and frequently diagnosed late, necessitating both surgical and medical approaches.
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