伴有宫内胎儿骨骼残留的盆腔放线菌病：一例报告
Pelvic actinomycosis with retained intrauterine fetal bone: a case report.
作者信息
White Terry, Felix Juan C
机构信息
Department of Obstetrics and Gynecology, University of Southern California Keck School of Medicine, Los Angeles, USA.
出版信息
J Reprod Med. 2007 Mar;52(3):220-2.
BACKGROUND
Pelvic actinomycosis is a rare infection that can manifest as pelvic inflammatory disease and in severe cases can cause extensive fibrosis. Most cases are associated with long-standing use of an intrauterine device (IUD).
CASE
A 30-year-old woman presented with abdominal pain, fever and a pelvic mass. She underwent removal of an intrauterine foreign body, surgical drainage of a tuboovarian abscess and intravenous antibiotic therapy. Pathology studies revealed that the foreign body consisted of bone tissue, and the agent of infection was identified as Actinomyces israelii.
CONCLUSION
Pelvic actinomycosis, although usually occurring in women using an IUD, may result from retained intrauterine fetal bone through a similar pathogenesis.
背景
盆腔放线菌病是一种罕见的感染性疾病，可表现为盆腔炎，严重时可导致广泛纤维化。大多数病例与长期使用宫内节育器（IUD）有关。
病例
一名30岁女性因腹痛、发热和盆腔肿块就诊。她接受了宫内异物取出术、输卵管卵巢脓肿手术引流及静脉抗生素治疗。病理研究显示异物由骨组织构成，感染病原体被鉴定为衣氏放线菌。
结论
盆腔放线菌病虽然通常发生在使用宫内节育器的女性中，但通过类似的发病机制，宫内残留胎儿骨骼也可能导致该病。
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