[Pelvic actinomycosis].
AN UNUSUAL INFECTION: Actinomycosis, uncommon in a pelvic localization, is a severe condition not well known to gynecologists. It is caused by Actinomyces israeli and is closely associated with long-term use of an intrauterine device. In the pelvic localization, the disease generally presents as a pseudoneoplastic formation. DIFFICULT DIAGNOSIS: Diagnosis is generally not established clinically. Pathology provides positive diagnosis. The germ cannot be isolated easily as it does not survive standard bacteriology sampling. Monoclonal antibodies may be helpful.


METHODS
Intravenous penicillin G followed by at least 6 months oral penicillin is generally successful in eradicating the infection. Indications for surgery should be limited to diagnostic procedures (pathology specimen), drainage in case of abscess formation, and removal of an obstacle compressing the digestive or urinary tract.
Reyal
F
F
Service de Gynécologie obstétrique, Hôpital Louis Mourier, Colombes.
Grynberg
H
H
Sibony
O
O
Molinié
V
V
Galeazzi
G
G
Barge
J
J
Engelmann
P
P
D000196:Actinomycosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D005260:Female; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D010400:Penicillin G / Q000627:therapeutic use; D011300:Preoperative Care; D014463:Ultrasonography
D010400:Penicillin G