title: An unusual presentation of actinomycosis in a young woman, after surgery.
abstract: Actinomycosis is an unusual, chronic granulomatous disease. Actinomyces israelli has been found to be related to infectious processes in those patients with affected skin integrity leading to abscess formation, fistulae or mass lesions. Actinomycosis mainly presents in three forms cervicofacial (50%), abdominal (20%) and thoracic (15%). Pelvic cases have been rarely reported and are usually associated with the use of intrauterine devices. We describe a case of a 23 y/o female without history of intrauterine device use, who was admitted with an ovarian cyst following an appendectomy. An ovarian abscess was drained. The pathology showed a granuloma and focal sulfur granules like particles compatible with Actinomyces. This is a case of pelvic Actinomyces, not related to the use of an intrauterine device.
authors.affiliation: Infectious Diseases Section, Department of Medicine, Veterans Affairs Medical Center, San Juan, Puerto Rico.
authors.forename: Mayra M
authors.initials: MM
authors.lastname: Colón-Candelaria
authors.forename: Luis
authors.initials: L
authors.lastname: Duharte-Vidaurre
authors.forename: Carlos
authors.initials: C
authors.lastname: Sánchez-Sergenton
authors.forename: Glenda
authors.initials: G
authors.lastname: González-Claudio
authors.forename: Sonia
authors.initials: S
authors.lastname: Saavedra
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology; D000038:Abscess / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000658:Amoxicillin / Q000008:administration & dosage / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001062:Appendectomy; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010048:Ovarian Cysts / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D010049:Ovarian Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D010400:Penicillin G / Q000008:administration & dosage / Q000627:therapeutic use; D011183:Postoperative Complications / Q000175:diagnosis*; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000658:Amoxicillin; D010400:Penicillin G