Tubal actinomycosis as a complication of intrauterine contraception
Kohoutek, M.; Nozicka, Z.
Zentralblatt für Gynakologie 100(3): 179-182
1978
ISSN/ISBN: 0044-4197 PMID: 654653 Document Number: 138901
Tubal actinomycosis was diagnosed in a 29-year-old patient, 1 month after insertion of a Dana super IUD. The patient presented with lower abdominal pain, and was treated on an outpatient basis. She was admitted to hospital when symptoms did not improve, and was treated with antibiotics. Symptoms improved, and the patient was released, but she was readmitted 2 months later with a diagnosis of acute pelviperitonitis and pyosalpinx. She was treated with chloramphenicol and antibiotics; pyosalpinx was drained twice. Laparotomy revealed bilateral pyosalpinx and right ovarian infection. Both Fallopian tubes and the right ovary were removed. Actinomycosis was identified in the post-operative tissue examination.