Year: 2020
Type: article
Study design: Case Report
Abstract: Actinomyces israelii is known as the causative bacteria of pelvic inflammatory disease (PID) associated with intrauterine contraceptive devices (IUDs). There are few reports detected during the pregnancy, but it can lead to serious intrauterine infections. We report a case in which actinomycete infection was observed during pregnancy, but cervicitis and chorioamnionitis did not occur and a good perinatal outcome was obtained. The patient, a 24-year old woman with 4 gravida and 3 para used IUD after her third birth. She received obstetrical examinations and was diagnosed with 28 weeks of gestation by transabdominal ultrasonography at our hospital. We detected the IUD in her uterine cervix and removed it to check the cytological diagnosis during the initial visit. The result of cytology revealed the presence of Actinomyses. She had neither abdominal pain nor fever. Amoxicillin (AMPC) 1g / day oral treatment started from the 32 weeks of gestation. The patient spontaneously delivered a weighted 3217g boy at 40 weeks and 5 days. The oral AMPC administration was continued for a total of 6 months. She had no pelvic peritonitis throughout the clinical course. If pregnancy is observed during IUD insertion, it may be possible to more accurately diagnose actinomycete infection by performing cytological tests in addition to IUD bacterial culture tests.
Authors: TOMISATO, Shoko, HASHIMOTO, Masahiro, OSANAI, Hisato, HASHIMOTO, Yuko, SAKABE, Eriko, TATEOKA, Kazuhiro, IWASAKI, Shinya
Institution: Shizuoka City Shimizu Hospital
Language: Japanese
Subfield: Microbiology (medical)
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7145458428