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Intrauterine device infection causing concomitant streptococcal toxic shock syndrome and pelvic abscess with Actinomyces odontolyticus bacteraemia.宫内节育器感染引发伴放线共生放线杆菌菌血症的链球菌中毒性休克综合征及盆腔脓肿。
BMJ Case Rep. 2016 Mar 10;2016:bcr2015213236. doi: 10.1136/bcr-2015-213236.
2
Fatal streptococcal toxic shock syndrome from an intrauterine device.宫内节育器引发的致命性链球菌中毒性休克综合征
J Emerg Med. 2013 Apr;44(4):777-80. doi: 10.1016/j.jemermed.2012.03.020. Epub 2013 Feb 8.
3
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Pelvic actinomycosis and usage of intrauterine contraceptive devices.盆腔放线菌病与宫内节育器的使用
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Comparison of immunofluorescence and culture for the detection of Actinomyces israelii in wearers of intra-uterine contraceptive devices.宫内节育器佩戴者中检测以色列放线菌的免疫荧光法与培养法的比较
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Anaerobe. 2006 Apr;12(2):67-70. doi: 10.1016/j.anaerobe.2005.12.004. Epub 2006 Feb 20.
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Genital actinomycosis and intrauterine contraceptive devices. Cytopathologic diagnosis and clinical significance.生殖器放线菌病与宫内节育器。细胞病理学诊断及临床意义。
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Streptococcal Toxic Shock Syndrome After Insertion of a Levonorgestrel Intrauterine Device.左炔诺孕酮宫内节育器置入后发生的链球菌中毒性休克综合征
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本文引用的文献

1
Streptococcal toxic shock syndrome secondary to group A Streptococcus vaginitis.A组链球菌性阴道炎继发的链球菌中毒性休克综合征
J Infect Chemother. 2015 Dec;21(12):873-6. doi: 10.1016/j.jiac.2015.07.011. Epub 2015 Sep 19.
2
Abdominopelvic actinomycosis in three different locations with invasion of the abdominal wall and ureteric obstruction: An uncommon presentation.腹部盆腔放线菌病累及三个不同部位并侵犯腹壁及导致输尿管梗阻：一种罕见的表现。
Int J Surg Case Rep. 2015;12:48-51. doi: 10.1016/j.ijscr.2015.05.016. Epub 2015 May 12.
3
[Abdominal wall actinomycosis. A report of a case].[腹壁放线菌病。一例报告]
Cir Cir. 2015 Mar-Apr;83(2):141-5. doi: 10.1016/j.circir.2015.04.010. Epub 2015 May 16.
4
Actinomycotic endocarditis of the eustachian valve: a rare case and a review of the literature.咽鼓管瓣膜放线菌性心内膜炎：1例罕见病例及文献复习
Tex Heart Inst J. 2015 Feb 1;42(1):44-9. doi: 10.14503/THIJ-13-3517. eCollection 2015 Feb.
5
[Pseudo tumor pelvic actinomycosis associated with intrauterine device: report of three cases].[与宫内节育器相关的盆腔放线菌病假性肿瘤：三例报告]
Pan Afr Med J. 2014 Sep 26;19:87. doi: 10.11604/pamj.2014.19.87.4747. eCollection 2014.
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Toxic shock syndrome surveillance in UK children.英国儿童中毒性休克综合征监测。
Arch Dis Child. 2014 Dec;99(12):1078-82. doi: 10.1136/archdischild-2013-304741. Epub 2014 May 1.
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Perforated aortic valve aneurysm due to infective endocarditis.感染性心内膜炎所致的穿孔性主动脉瓣动脉瘤
Rev Esp Cardiol (Engl Ed). 2014 Mar;67(3):222. doi: 10.1016/j.rec.2013.04.024. Epub 2013 Sep 12.
8
Giant nonfamilial left atrial myxoma presenting with eye embolism and nonvalvular Streptococcus sanguinis endocarditis.巨大非家族性左房黏液瘤伴眼部栓塞及非瓣膜性血链球菌心内膜炎
J Am Coll Cardiol. 2014 May 20;63(19):2049. doi: 10.1016/j.jacc.2013.12.059. Epub 2014 Mar 26.
9
Meningococcal septic shock after IUD insertion, a case presentation.
Rev Med Chir Soc Med Nat Iasi. 2013 Oct-Dec;117(4):929-33.
10
Postcaesarean open-heart surgery for Streptococcus sanguinis infective endocarditis.剖宫产术后行心脏直视手术治疗血链球菌感染性心内膜炎。
BMJ Case Rep. 2013 Nov 14;2013:bcr2013010103. doi: 10.1136/bcr-2013-010103.

宫内节育器感染引发伴放线共生放线杆菌菌血症的链球菌中毒性休克综合征及盆腔脓肿。

Intrauterine device infection causing concomitant streptococcal toxic shock syndrome and pelvic abscess with Actinomyces odontolyticus bacteraemia.

作者信息

Wu Carolyn M Yu, Noska Amanda

机构信息

Department of Internal Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Department of Infectious Diseases, The Miriam Hospital and Immunology Center, Providence, Rhode Island, USA Department of Infectious Diseases, Providence VA Medical Center, Providence, Rhode Island, USA.

出版信息

BMJ Case Rep. 2016 Mar 10;2016:bcr2015213236. doi: 10.1136/bcr-2015-213236.

DOI:10.1136/bcr-2015-213236
PMID:26965406
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4800214/
Abstract

Intrauterine devices (IUDs) are rarely associated with serious infections. We report an unusual concomitant infection of group A Streptococcus (GAS) causing toxic shock syndrome and pelvic abscess with Actinomyces odontolyticus associated with an IUD in a healthy 50-year-old patient. The IUD was subsequently removed and the patient recovered on the appropriate antibiotics. This case highlights the importance of clinicians' high index of suspicion of an IUD infection and prompt removal of the infected foreign body to obtain source control.

摘要

宫内节育器（IUD）很少与严重感染相关。我们报告了一例不寻常的病例，一名50岁健康患者的宫内节育器合并A组链球菌（GAS）感染导致中毒性休克综合征和盆腔脓肿，并伴有溶齿放线菌感染。随后取出了宫内节育器，患者在使用适当抗生素后康复。该病例强调了临床医生对宫内节育器感染高度怀疑的重要性，以及及时取出感染异物以实现源头控制的重要性。