Tubo-ovarian Actinomycosis: a case report with brief review of literature.
Pelvic actinomycosis is an uncommon condition, often associated with the use of intrauterine contraceptive device (IUCD). Pelvic actinomycosis is rare accounting for 3% of all human actinomycotic infections. Ovarian actinomycosis is even rarer. Here, we present a 24-year-old woman using an IUCD for 3 1 / 2 years with right-sided adnexal mass, which was diagnosed postoperatively as tubo-ovarian actinomycosis. Many times, an appropriate management is overlooked or delayed due to its non-specific and variable clinical and radiological features. Sometimes, it can even mimic an advanced pelvic malignancy. Therefore, the gynecologist should consider the possibility of this infection to spare the patient from morbidity of radical surgical procedure.
Department of Pathology, Nilratan Sircar Medical College, Kolkata, India. sambit_dg@rediffmail.com
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S
Dasgupta
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S
Ghosh
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Sengupta
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R
Sarkar
D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005184:Fallopian Tube Diseases / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D010049:Ovarian Diseases / Q000188:drug therapy / Q000382:microbiology*; D010406:Penicillins / Q000627:therapeutic use; D055815:Young Adult
D000900:Anti-Bacterial Agents; D010406:Penicillins