Higher Education | Infectious Disease | Medicine and Health Sciences | Obstetrics and Gynecology | Radiology
Introduction: Actinomycosis is a bacterial infection caused by the gram positive anaerobic bacteria that most commonly infects the cervicofacial region of the body. Rarely, it can infect the pelvis and typically presents in a nonspecific manner.
Case Report: We present a case of a 43 year old female G6P6006 with Paragard® intrauterine device (IUD) who presented with purulent umbilical discharge and pelvic pain. Initial imaging was concerned for gastrointestinal or ovarian malignancy. Patient underwent diagnostic laparoscopy with pelvic washings and hysteroscopy D&C. Operative pathology returned with results for actinomyces (IUD likely source).
Conclusion: While it is established IUDs can be associated with actinomyces infection, this case provides an example of how the illness may present clinically, oftentimes mimicking malignancy or tubo-ovarian abscess.
infectious disease, pelvic inflammatory disease (PID), actinomyces, intrauterine device
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Locklear, J., Gilbert, R., Sukhavasi, N., , Sutton, E. Pelvic Actinomycosis: A Case Report. Graduate Medical Education Research Journal. 2023 Jun 30; 5(1).