4 Cases of Pelvic Actinomycoses.

Kim, Jeong Su; Chung, Chang Cho; Chee, Yong Hun; Shin, Myung Choel; Lee, Mi Hwa; Lee, Kyeong Sul; Won, Jong Gun; Cho, Dong Je

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(8):1763-1770.
Published online January 1, 2001.

4 Cases of Pelvic Actinomycoses.

Jeong Su Kim, Chang Cho Chung, Yong Hun Chee, Myung Choel Shin, Mi Hwa Lee, Kyeong Sul Lee, Jong Gun Won, Dong Je Cho

Abstract

Actinomycoces is a gram positive, anaerobic, branching and non-acid fast bacterium which is a normal habitant of the skin, oral cavity, tonsil and gastrointestinal tract and its human infection is rare. Pelvic actinomycoses is frequently caused by Actinomycoces israel-ii. It is chronic, progressive, and more suppurative than granulomatous disease, and the symptoms are usually persistent and gradual, therefore the misdiagnosis and improper trea-tment are not uncommon. Actinomycoses is generally classified as cervicofacial, abdominal and thoracic type ac- cording to the site of the primary infection. Many actinomycotic pelvic infections in women used intrauterine device with long du- ration were reported, in contrast, others suggest that actinomycoces developed opportunistic infection irrespective of intrauterine device presence. We have experienced 4 cases of pelvic actinomycoses, one case with IUD(Lippes' loop) in a 47 year old woman, the other case with abdominal wall ctinomycoses in a 34 year old woman, the third case without IUD in a 41 year old woman, the fourth case with IUD(Cu-7) in a 37 year old woman and reported them with a review of literature.

Key Words: Pelvic actinomycoses, Abdominal wall actinomycoses, Intrauerine device