Actinomyces bacteremia in association with tubo-ovarian abscesses and hysteroscopic sterilization.

Abstract

BACKGROUND:

Actinomyces infection is well-documented in intrauterine devices but has not been previously associated with hysteroscopic sterilization using coil inserts. Additionally, abscesses associated with these implants have been observed in few cases.

CASE:

A 31-year-old multiparous woman with a history of hysteroscopic sterilization with coil inserts 18 months previously presented with several weeks of pelvic pain. Despite percutaneous drainage of intra-abdominal abscesses, her pain and fevers persisted. Blood cultures were positive for Actinomyces infection, and exploratory laparotomy demonstrated abscesses at both coil sites.

CONCLUSION:

When a causative organism cannot be identified or the when patient does not respond to standard antibiotic therapy, Actinomyces infection should be considered because prolonged antibiotic therapy is necessary.

• Authors: Janelle B Pakish, Loyd West
• Journal: Obstetrics and gynecology (Obstet Gynecol) Vol. 124 Issue 2 Pt 2 Suppl 1 Pg. 451-453 (Aug 2014) ISSN: 1873-233X [Electronic] United States
• PMID: 25004324 (Publication Type: Case Reports, Journal Article)

Topics

• Abscess (complications, microbiology)
• Actinomyces (isolation & purification, pathogenicity)
• Actinomycosis (microbiology)
• Adnexal Diseases (complications, microbiology)
• Adult
• Bacteremia (microbiology)
• Female
• Haemophilus Infections (complications, microbiology)
• Haemophilus influenzae (isolation & purification)
• Humans
• Hysteroscopy
• Postoperative Complications (microbiology)
• Sterilization, Tubal (adverse effects, instrumentation)