title: Actinomyces infection appearing five years after trocar-guided transvaginal mesh prolapse repair.
abstract: Bacterial colonization and chronic infection following mesh-augmented pelvic floor reconstructive surgery may be one reason for abnormal healing and the occurrence of complications such as a mesh erosion, pain, and shrinkage. This case presents a patient with Actinomyces infection that appeared 5 years after trocar-guided transvaginal mesh repair of pelvic organ prolapse (POP). In patients with recurrent symptomatic mesh exposure, if partial removal or conservative treatment is unsuccessful, the possibility of Actinomyces infection should be considered.
authors: Department of Obstetrics and Gynecology, 1st Medical Faculty, Charles University and General University Hospital in Prague, Prague, Czech Republic, masata@volny.cz.
authors: Jaromir
authors: J
authors: Masata
authors: Pavel
authors: P
authors: Dundr
authors: Alois
authors: A
authors: Martan
mesh_terms: D000196:Actinomycosis / Q000209:etiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012008:Recurrence; D013525:Surgical Instruments; D013526:Surgical Mesh / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents