女性生殖道放线菌感染。

Actinomyces infection in female genital tract.

作者信息

Kayikcioglu Fulya, Akif Akgul M, Haberal Ali, Faruk Demir O

机构信息

Department of Gynecology, SSK Ankara Maternity and Women's Health Teaching Hospital, Etlik, TR06010 Ankara, Turkey.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2005 Jan 10;118(1):77-80. doi: 10.1016/j.ejogrb.2004.04.025.

DOI:10.1016/j.ejogrb.2004.04.025

PMID:15596277

Abstract

OBJECTIVES

To analyze clinical and laboratory characteristics of patients with pelvic actinomyces.

STUDY DESIGN

We studied five patients with pelvic actinomyces who were admitted between January 1, 2002 and December 31, 2002. The initial complaints, diagnostic methods, therapeutic alternatives and results of the therapies were examined.

RESULTS

The ages of the cases varied between 32 and 52 years old. All five patients had been using an intrauterine device. Three cases had hydronephrosis due to infection. Two patients were diagnosed postoperatively while the other three cases were diagnosed with cervical smear and endometrial biopsy; penicillin G was administered to all. The patients are still under surveillance, and without any problems.

CONCLUSION

In patients with an intrauterine device, actinomyces should be remembered in differential diagnosis of pelvic infections. Preoperative diagnosis is of the utmost importance in order to prevent morbidity of this infiltrative infection. Long-term penicillin therapy proved to be successful. Complicated or resistant cases to medical therapy should be candidates for surgical therapy.

摘要