title: [Pelvic actinomycosis: a misleading picture].
abstract: Pelvic actinomycosis is a rare chronic suppurative granulomatous disease associated with an intrauterine contraceptive device. Next pelvic organs can be affected but also more distant organs, to lead to different clinical situations. The diagnosis is therefore often difficult. We report here the case of a woman who presents a particular extensive pelvic actinomycosis diagnosed after surgical treatment with important morbidity. This case shows the interest of evoking the diagnosis in an evocative clinical context, doing the necessary exams to confirm the hypothesis, favouring medical treatment and reserving surgical treatment for particular situations.
authors.affiliation: Service de réanimation, centre hospitalier Montélimar, quartier Beausseret, 26216 Montélimar, France. celine.bernet@wanadoo.fr
authors.forename: C
authors.initials: C
authors.lastname: Bernet
authors.forename: F
authors.initials: F
authors.lastname: De Brabant
authors.forename: M
authors.initials: M
authors.lastname: Gonzalez
authors.forename: B
authors.initials: B
authors.lastname: Jung
authors.forename: O
authors.initials: O
authors.lastname: Millet
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000196:Actinomycosis / Q000209:etiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001201:Ascites / Q000209:etiology; D016063:Blood Loss, Surgical; D001803:Blood Transfusion; D020878:Device Removal; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D005260:Female; D005674:Fusobacterium Infections / Q000150:complications; D016967:Fusobacterium nucleatum / Q000302:isolation & purification; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D010535:Laparoscopy; D008875:Middle Aged; D034161:Pelvic Infection / Q000209:etiology*; D010538:Peritonitis / Q000209:etiology*; D012771:Shock, Hemorrhagic / Q000209:etiology; D014662:Vasoconstrictor Agents / Q000627:therapeutic use; D020246:Venous Thrombosis / Q000209:etiology; D015431:Weight Loss
chemical_list: D000900:Anti-Bacterial Agents; D014662:Vasoconstrictor Agents