title: Intrauterine device infection causing concomitant streptococcal toxic shock syndrome and pelvic abscess with Actinomyces odontolyticus bacteraemia.
abstract: Intrauterine devices (IUDs) are rarely associated with serious infections. We report an unusual concomitant infection of group A Streptococcus (GAS) causing toxic shock syndrome and pelvic abscess with Actinomyces odontolyticus associated with an IUD in a healthy 50-year-old patient. The IUD was subsequently removed and the patient recovered on the appropriate antibiotics. This case highlights the importance of clinicians' high index of suspicion of an IUD infection and prompt removal of the infected foreign body to obtain source control.
authors.affiliation: Department of Internal Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
authors.forename: Carolyn M Yu
authors.initials: CM
authors.lastname: Wu
authors.affiliation: Department of Infectious Diseases, The Miriam Hospital and Immunology Center, Providence, Rhode Island, USA Department of Infectious Diseases, Providence VA Medical Center, Providence, Rhode Island, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Noska
mesh_terms: D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000209:etiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000382:microbiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D008875:Middle Aged; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis / Q000382:microbiology; D012772:Shock, Septic / Q000209:etiology* / Q000382:microbiology; D013290:Streptococcal Infections / Q000209:etiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents