Clinically inapparent tuboovarian actinomycosis in a woman with an IUD. A case report.
BACKGROUND
The consequences and management of asymptomatic Actinomyces-like organisms detected on cervical cytologic smears continue to be controversial.


METHODS
A unilateral tuboovarian actinomycotic abscess was discovered in a woman who had undergone a hysterectomy for uterine leiomyomas. She had had an intrauterine device in place for many years without any symptoms of pelvic inflammatory disease.


CONCLUSIONS
Ascending infection of the upper genital tract by Actinomyces may be clinically inapparent. When Actinomyces-like organisms aer detected on cervical cytologic smears, removal of an intrauterine device should be considered.
Dehal
S A
SA
Department of Obstetrics and Gynecology, Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA.
Kaplan
M A
MA
Brown
R
R
Robinson
T M
TM
Chatwani
A
A
D000190:Actinomyces / Q000302:isolation & purification*; D000196:Actinomycosis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D003937:Diagnosis, Differential; D005187:Fallopian Tubes / Q000382:microbiology / Q000473:pathology; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D008875:Middle Aged; D010053:Ovary / Q000382:microbiology / Q000473:pathology; D014626:Vaginal Smears