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  • Title: [Tubal actinomycosis as a complication of intrauterine contraception].
    Author: Kohoutek M, Nozicka Z.
    Journal: Zentralbl Gynakol; 1978; 100(3):179-82. PubMed ID: 654653.
    Abstract:
    A case of actinomycosis of the uterine tube occuring in a 29-year-old clerk is reported. The disease became manifest clinically a month after the introduction of IUD. In spite of intensive antiinflammatory therapy the disease was in progress and cachexia developed. The case was cured only after radical surgical intervention and antibiotic treatment. Tubal actinomycosis was diagnosed in a 29-year-old patient, 1 month after insertion of a Dana super IUD. The patient presented with lower abdominal pain, and was treated on an outpatient basis. She was admitted to hospital when symptoms did not improve, and was treated with antibiotics. Symptoms improved, and the patient was released, but she was readmitted 2 months later with a diagnosis of acute pelviperitonitis and pyosalpinx. She was treated with chloramphenicol and antibiotics; pyosalpinx was drained twice. Laparotomy revealed bilateral pyosalpinx and right ovarian infection. Both Fallopian tubes and the right ovary were removed. Actinomycosis was identified in the post-operative tissue examination.
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