Chest wall actinomycosis in association with the use of an intra-uterine device.
A 31 year old woman presented with a chest wall abscess due to Actinomyces israellii and Porphyromonas asaccharolytica (previously Bacteroides asaccharolyticus). She was a long-term user of an intra-uterine device (IUD) and, although asymptomatic, had radiological evidence of pelvic infection. Actinomyces-like organisms were seen on cervico-vaginal smears. The abscess was surgically drained, the IUD removed, and a prolonged course of amoxycillin/clavulanic acid given.
Department of Microbiology, Flinders Medical Centre, Bedford Park, Australia.
W J
WJ
McBride
D R
DR
Hill
D L
DL
Gordon
D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000188:drug therapy / Q000382:microbiology*; D000328:Adult; D000658:Amoxicillin / Q000008:administration & dosage; D019818:Clavulanic Acid; D002969:Clavulanic Acids / Q000008:administration & dosage; D004359:Drug Therapy, Combination / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D000292:Pelvic Inflammatory Disease / Q000188:drug therapy / Q000382:microbiology*; D013896:Thoracic Diseases / Q000188:drug therapy / Q000382:microbiology*
D002969:Clavulanic Acids; D019818:Clavulanic Acid; D000658:Amoxicillin