title: [Genital actinomycosis and pelvic abscesses in a woman with a 13-year-old intrauterine device].
abstract: A 55-year-old woman who had had the same intrauterine device (IUD) for 13 years was referred to the gynaecology outpatient clinic due to constitutional symptoms, abdominal pain and vaginal discharge. Diagnostic imaging showed multiple pelvic abscesses, and severe chronic endometritis with Actinomyces was found in an endometrial biopsy. The patient underwent surgical drainage of the accessible abscesses and started long-term antibiotic treatment. This case report illustrates that actinomycosis is an important differential diagnosis in symptomatic women with IUD and suspected gynaecologic malignancy.
authors.affiliation: bjornbay@me.com.
authors.forename: Anne Bank
authors.initials: AB
authors.lastname: Boisen
authors.forename: Eva Bjerre
authors.initials: EB
authors.lastname: Ostenfeldt
authors.forename: Lise Tornvig
authors.initials: LT
authors.lastname: Erikstrup
authors.forename: Bjørn
authors.initials: B
authors.lastname: Bay
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D000196:Actinomycosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D004716:Endometritis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D034161:Pelvic Infection / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents