Actinomycosis-like Propionibacterium propionicum infection associated with use of intrauterine contraceptive device: a case report

Memon, Fouzia, Anwar, Ayesha, Matar, Mohamed and Jonker, Leon (2016) Actinomycosis-like Propionibacterium propionicum infection associated with use of intrauterine contraceptive device: a case report. Journal of Case Reports and Images in Obstetrics and Gynecology, 2 (2). pp. 57-60.

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Abstract

Introduction: Intrauterine contraceptive devices generally carry a low risk of complications. Infection, possibly due to damage caused upon insertion, can occur and actinomycetaceae are the most likely cause of pelvic actinomycosis.

Case report: A 41-year-old female presented with a two-month history of raised temperature, weight loss and abdominal tenderness. Contrast tomography imaging indicated pyometria and pelvic actinomycosis-like abscess linked to intrauterine contraceptive device use. Full microbiological reporting, including anaerobic cultures and 16S PCR, identified the bacterium Propionibacterium propionicum. A six-month course of amoxicillin resolved the infection and the patient made a full recovery.

Conclusion: Increased IUCD-related actinomycosis awareness and improved diagnostics may increase detection of P. propionicum, a pathogen rarely reported on to date.

Item Type: Article
Journal or Publication Title: Journal of Case Reports and Images in Obstetrics and Gynecology
Publisher: Edorium Journals
Departments: Health, Psychology & Social Studies (HPSS)
Additional Information: Article ID: 100020Z08FM2016. This article is distributed under the terms of Creative Commons Attribution License.
Depositing User: Anna Lupton
Date Deposited: 13 Jul 2017 11:36
Last Modified: 16 Dec 2017 16:09
URI: http://insight.cumbria.ac.uk/id/eprint/3096

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