La actinomicosis es una infección poco común causada por bacterias del género . Schalper K, Piérart C. Análisis de la presencia de actinomicosis pélvica en. Download Citation on ResearchGate | ACTINOMICOSIS GINECOLOGICA | Actinomycosis is an infectious disease. It may lead to sequels and may cause death. Antecedentes: La actinomicosis de pared abdominal es un cuadro clínico poco frecuente, aso .. Jabib A, Ferreiro J, Chappe M, Albini M. Actinomicosis pélvica.

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Pelvic Actinomycosis

Under a Creative Commons license. However, the elimination of the injured tissue and surgical drainage are necessary measures in some cases [ 5 ], and, in these patients, the duration of antimicrobial therapy could be reduced 3 months [ 3 ]. Turkey [ 65 ]. Clin Infect Dis ; However, with the advance of technology, preventative measures directed at high-risk populations in developed countries began to be applied, as opposed to developing countries, where no such actions were taken.

The possibility of a contagion through oral sex has been considered because these bacteria are part of the oral cavity microbiota [ 72 ]. In this review, it is evident that, in many of the cases presented, an erroneous clinical diagnosis was made, confusing pelvic actinomycosis mainly with malignant lesions.

South African Medical Journal. Indian Journal of Pathology and Microbiology. Studies that described clinical cases of pelvic actinomycosis with a detailed diagnostic method and cross-sectional studies of cases of actinomycosis available in the PubMed, Scopus, and Google Scholar databases were included using the following keywords: Although these methods are very efficient, they are not well reported in the literature due to the conditions under which they must be performed, requiring an anaerobic culture environment and the necessary equipment, which is costly.

A systematic review of worldwide pelvic actinomycosis cases between and was performed, utilising the PubMed, Scopus, and Google Scholar databases. Canada [ 62 ] Ovarian actinomycosis Left tubo-ovarian abscess Haematoxylin-eosin HE staining microscopy No Exploratory laparotomy, unilateral oophorectomy, and penicillin Complete recovery 1 49Bes et al. Cases in which the causal microorganism is completely identified are few, as are cases identified by culture and biochemical assays.


According to the analysis of the articles presented, Europe was the continent on which the greatest number of cases of pelvic actinomycosis was reported, followed by Asia and America.

Departamento de Medicina Interna CV. Sri Lanka Journal of Obstetrics and Gynaecology. South Korea [ 15 ] Pelvic actinomycosis A. The ages of patients ranged between 18 and 58 years with an average age of J Emerg Med ; Diagnostic images, such as computed tomography, magnetic resonance, ultrasound, X-rays, and laparoscopy are helpful, as they can be used to observe the affected zone, such as a tumour-forming mass that can induce either actinomycosis or a carcinogenic process [ 45173 ].

Instituto Mexicano del Seguro Social, Background Infection by Actinomyces is a slow progression chronic bacterial disease caused by Gram-positive, anaerobic, non-spore-forming germs typically colonising the mouth, colon and vagina. However, because of the nature of the pathology, there is no early diagnosis, because, as has already been mentioned, the presence of symptoms occurs in advanced stages of the disease.

France [ 30 ]. Mexico [ 58 ]. After a review of the bibliography, several cases similar to ours were found in medical literature, with large pelvic or abdominal wall tumours mimicking malignant processes, which were infections caused by Actinomyces. Pseudotumoral pelvic actinomycosis in a woman who had been using an IUD for 15 years.

A computerised axial tomography in this case has more resolution and can confirm the non-malignant nature acitnomicosis the process, avoiding unnecessary surgeries. Total abdominal elective hysterectomy and bilateral salpingo-oophorectomy, penicillin, and amoxicillin Complete recovery Laparotomy and bilateral salpingo-oophorectomy with left ureterolysis, ceftriaxone, and metronidazole Complete recovery Ceftriaxone and Metronidazole, subsequent laparotomy, left salpingo-oophorectomy, penicillin, and amoxicillin Complete recovery.

Brazilian Journal of Infectious Diseases. Thus, based on experience and observation, it is recommended that IUDs be changed periodically to limit the pelvuca of this condition.

Japan [ 17 ]. J Gastroenterol Hepatol, 20pp. The authors declare that there are no conflicts of interest regarding the publication of this paper.

Table 4 Publications of cases of pelvic actinomycosis in Europe. Actinomycosis is a suppurative granulomatous chronic disease caused by a bacterium called Actinomycesthe most frequent being Actinomyces israeliihabitual commensal of the oropharynges, digestive tract and female genitalia. Although there are authors who defend the resection of all the affected tissue, 15 this requires very aggressive and mutilating surgeries in many cases, with a possibility of very serious complications, which may be avoided if the antibiotic treatment is effective, as in our case.


The infection can disseminate to the uterine tubes and can cause salpingitis and the subsequent destruction of the ovarian parenchyma [ actunomicosis ]. Laparotomy, en bloc resection that included compromised abdominal wall, right hemicolectomy, hysterectomy, bilateral salpingo-oophorectomy, partial sigmoidectomy, and penicillin Complete recovery. Surg Infect Larchmt13pp.


All patients were IUD users except one case, and the time of device use ranged from 22 months to 33 years. SRJ is qctinomicosis prestige metric based on the idea that not all citations are the same. Case Reports in Obstetrics and Gynecology. The majority of patients were IUD users, with a usage time of 1 year to more than 20 years; most of the studies did not specify the type of IUD used.

Pleural effusion as the major manifestation of actinomycosis.

Pelvic Actinomycosis

Bacilos Grampositivos No Formadores de Esporas: Pelvic and abdominal wall actinomycosis associated to the use of IUD may simulate a neoplastic disease, and it is therefore frequently treated surgically. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related actinomicoiss client preferences through the analyses of navigation customer behavior.

Total hysterectomy and bilateral oophorectomy Penicillin Resolution different according to patient. World Journal of Gastrointestinal Surgery. It should be highlighted that most Actinomyces spp.