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阴道修补术后三年发生盆腔放线菌病:一例报告。

Pelvic actinomycosis three years after colporrhaphy: A case report.

作者信息

Davick Stephen, Annira Samiksha, Schwiesow Tyler

机构信息

University of Iowa - Des Moines Internal Medicine Residency Program, 1415 Woodland Ave. Ste. 140, Des Moines, IA 50309, United States.

University of Iowa Hospitals & Clinics, 200 Hawkins Drive, Iowa City, IA 52242, United States.

出版信息

Case Rep Womens Health. 2021 Sep 21;32:e00359. doi: 10.1016/j.crwh.2021.e00359. eCollection 2021 Oct.

DOI:10.1016/j.crwh.2021.e00359
PMID:34611518
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8476689/
Abstract

A 57-year-old patient presented with vaginal discharge and was found to have a pelvic abscess with and , with likely nidus of infection being a non-absorbable suture placed during colporrhaphy three years prior. She was treated with drain placement and antibiotics. Post-hospitalization, her colporrhaphy suture was removed. Subsequently the drain output decreased and this was removed as well. She had a total course of 6 weeks of amoxicillin/clavulanate, with complete resolution of her abscess.

摘要

一名57岁的患者出现阴道分泌物,被发现患有盆腔脓肿,有[此处可能缺失部分信息],感染源可能是三年前阴道修补术时放置的不可吸收缝线。她接受了引流管置入和抗生素治疗。出院后,她的阴道修补术缝线被拆除。随后引流液减少,引流管也被拔除。她总共接受了6周的阿莫西林/克拉维酸治疗,脓肿完全消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd8/8476689/66aa50f8603e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd8/8476689/27677ff8d236/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd8/8476689/66aa50f8603e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd8/8476689/27677ff8d236/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccd8/8476689/66aa50f8603e/gr2.jpg

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本文引用的文献

1
Actinomyces in explanted transvaginal mesh: commensal or pathogen?取出的阴道网片中的放线菌:共生菌还是病原体?
Int Urogynecol J. 2021 Nov;32(11):3053-3059. doi: 10.1007/s00192-020-04610-z. Epub 2021 Jan 8.
2
Pelvic Actinomycosis.盆腔放线菌病
Can J Infect Dis Med Microbiol. 2017;2017:9428650. doi: 10.1155/2017/9428650. Epub 2017 Jun 8.
3
Clinical features of actinomycosis: A retrospective, multicenter study of 28 cases of miscellaneous presentations.放线菌病的临床特征:一项对28例不同表现病例的回顾性多中心研究。
Medicine (Baltimore). 2016 Jun;95(24):e3923. doi: 10.1097/MD.0000000000003923.
4
Actinomycosis: etiology, clinical features, diagnosis, treatment, and management.放线菌病:病因、临床特征、诊断、治疗和管理。
Infect Drug Resist. 2014 Jul 5;7:183-97. doi: 10.2147/IDR.S39601. eCollection 2014.
5
Actinomyces infection appearing five years after trocar-guided transvaginal mesh prolapse repair.在套管针引导下经阴道网片脱垂修复术后五年出现放线菌感染。
Int Urogynecol J. 2014 Jul;25(7):993-6. doi: 10.1007/s00192-013-2304-7. Epub 2014 Feb 11.
6
Colporrhaphy compared with mesh or graft-reinforced vaginal paravaginal repair for anterior vaginal wall prolapse: a randomized controlled trial.经阴道闭孔无张力尿道中段悬吊术与经阴道网片或补片加强修补术治疗阴道前壁膨出的随机对照研究。
Obstet Gynecol. 2011 Dec;118(6):1337-1344. doi: 10.1097/AOG.0b013e318237edc4.
7
Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse.前阴道壁修补术与经阴道网片修补术治疗盆腔器官脱垂。
N Engl J Med. 2011 May 12;364(19):1826-36. doi: 10.1056/NEJMoa1009521.
8
Vaginal repair with mesh versus colporrhaphy for prolapse: a randomised controlled trial.阴道网片修补术与阴道壁修补术治疗盆腔器官脱垂的随机对照试验
BJOG. 2009 Sep;116(10):1380-6. doi: 10.1111/j.1471-0528.2009.02254.x. Epub 2009 Jul 7.
9
Actinomyces infection associated with the transobturator sling.与经闭孔吊带相关的放线菌感染
Int Urogynecol J. 2010 Jan;21(1):121-3. doi: 10.1007/s00192-009-0932-8. Epub 2009 Jun 17.
10
A rare case of primary actinomycosis of the anterior abdominal wall: diagnosis and treatment.一例罕见的腹壁原发性放线菌病:诊断与治疗
Hernia. 2008 Oct;12(5):549-52. doi: 10.1007/s10029-008-0344-6. Epub 2008 Apr 10.