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. 2013:2013:658902.
doi: 10.1155/2013/658902. Epub 2013 May 16.

Pyometra Perforation Caused by Actinomyces without Intrauterine Device Involvement

Hideharu Hagiya  1
Affiliations

Pyometra Perforation Caused by Actinomyces without Intrauterine Device Involvement

Hideharu Hagiya. Case Rep Obstet Gynecol. 2013.

Abstract

An 86-year-old woman with diabetes mellitus and severe decubitus at the sacral and calcaneal regions stemming from poor daily activity was diagnosed with pyometra perforation caused by Actinomyces. No foreign materials, including an IUD, were found inside the uterus. Pyometra is usually caused by Enterobacteriaceae or anaerobes derived from the gastrointestinal tract. The virulence of Actinomyces is rather low, and, in almost all the reported cases of Actinomyces-related pyometra, an intrauterine device (IUD) was involved. Although rare, Actinomyces may be ascribed as a virulent pathogen that causes pyometra in the absence of foreign materials.

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Figures

Figure 1
Figure 1
Emphysematous changes inside the wall of the distended uterus.
See this image and copyright information in PMC

References

    1. Kriplani A, Buckshee K, Relan S, Kapila K. ‘Forgotten’ intrauterine device leading to actinomycotic pyometra—13 years after menopause. European Journal of Obstetrics Gynecology and Reproductive Biology. 1994;53(3):215–216. - PubMed
    1. Dharmadhikari D, Dharmadhikari R, Macdonald J, Beukenholdt R. Intrauterine contraceptive device-related actinomycosis infection presenting as an incarcerated inguinal hernia. Journal of Obstetrics and Gynaecology Research. 2007;33(4):595–597. - PubMed
    1. Phupong V, Sueblinvong T, Pruksananonda K, Taneepanichskul S, Triratanachat S. Uterine perforation with Lippes loop intrauterine device-associated actinomycosis. A case report and review of the literature. Contraception. 2000;61(5):347–350. - PubMed
    1. Lely RJ, Van Es HW. Case 85: pelvic actinomycosis in association with an intrauterine device. Radiology. 2005;236(2):492–494. - PubMed
    1. De Montpréville VT, Nashashibi N, Dulmet EM. Actinomycosis and other bronchopulmonary infections with bacterial granules. Annals of Diagnostic Pathology. 1999;3(2):67–74. - PubMed

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