Gil RMG, Martínez RMÁ, Reyes GSY, Said GZP, Reynoso MMT

Language: Spanish
References: 16
Page: 270-275
PDF size: 518.83 Kb.

ABSTRACT

Actinomycosis is a chronic, slowly progressive bacterial infection whose most common etiologic agent in humans is Actinomyces israelii which is part of the normal flora of the oral cavity, gastrointestinal tract and female genital tract. The sites of affectation in order of frequency are cervicofacial, thoracic, abdominopelvic and central nervous system. Using the IUDs for a long period favors the development of actinomycosis in the female genital tract, which conditions the formation of abscesses that can be clinically confused with a tumor of non-specific symptoms, making diagnosis difficult and delaying treatment. It is reported the case of a 39-year-old female patient with crampy pain in left iliac fossa and hypogastrio, with weight loss of 8 kg in one month and dominated the evening fever, with a gynecologic history of IUDs use (T copper) for long time. Protocol was to study burnout syndrome and probable ovarian neoplastic process. Computed tomography reported dependent ovarian tumor infiltrating the left roof of the bladder. Patient was submitted to surgery by exploratory laparotomy and the transoperative pathology study reported salpingoophoritis acute abscess.

REFERENCES

1. García-Cano E, Camargo A, Carrera A, Galán NA y col. Detección de Actinomyces spp. de muestras cérvico-vaginales de mujeres con y sin dispositivo intrauterino. Bioquimia 2002;27(3):60-68.

2. Brook I. Actinomycosis: diagnosis and management. South Med J 2008;101(10):1019-1023.

3. Joshi C, Sharma R, Mohsin Z. Pelvic actinomycosis: a rare entity presenting as tubo-ovarian abscess. Arch Gynecol Obstet 2010;281(2):305-306.

4. Wong L, Marcon N. Abdominal actinomycosis. Acceso mayo 22, 2008. Disponible en: http//www.uptodate.com

5. Livengood C. Pathogenesis of and risk factors for pelvic inflammatory disease. Acceso enero 8, 2009. Disponible en: http//www.uptodate.com

6. Livengood C. Tuboovarian abscess. Acceso noviembre 24, 2008. Disponible en: http//www.uptodate.com

7. Krishna D, Kunica C, Damyanti S, Daya S, et al. Pelvic actinomycosis associated with an intrauterine device. J Gynecol Surg 2007;23(4):143-146.

8. Vispo N, Cassanello G, Capellino P. Actinomicosis tuboovárica pseudotumoral. Rev Hosp Privado de Comunidad 2005;9(1):24-26.

9. Sánchez J, Mercado N, Chilaca F. Uso del DIU asociado a la infección secundaria por Actinomyces en tracto genital femenino. Rev Esp Patol 2004;17(4):383-388.

10. Del Agua C, Felipo F, Eguizábal C. Tumoración pélvica agresiva: actinomicosis peritoneal simulando malignidad (VI Congreso Virtual Hispanoamericano de Anatomía Patológica). Acceso marzo, 2004. Disponible en: http//www.conganat.uninet.edu

11. Cumbraos JM, Fernández C, Pinedo A. Actinomicosis abdominopélvica en paciente portadora de DIU. Presentación de un caso. Clin Invest Gin Obst 2003;30(6):201-202.

12. Guerra M, Reyna E, Torres M. Absceso tubo-ovárico actinomicótico. Obstet Ginecol Venez 2005;65(1):33-34.

13. Ramos JM, Torroba A, García Santos JM. Mujer de 41 años con dolor abdominal y fiebre de 24 horas de evolución. An Med Interna (Madrid) 2004;21(10):507-513.

14. Rutger L, Hendrik W. Case 85: pelvic actinomycosis in association an intrauterine device. Radiology 2005;235(2):492-494.

15. Pérez MD, Rodríguez A, Núñez A. Actinomicosis abdominopélvica con afección del aparato urinario secundario a infección ginecológica por dispositivo intrauterino. Acts Urol Esp 2000;24(2):197-201.

16. Toglia M, Schaffer JI. Tubo-ovarian abscess formation in users of intrauterine devices remote from insertion: a report of three cases. Infect Dis Obstet Gynecol 1996;4:85-88.