Pelvic Actinomycosis
Abstract Actinomycosis is a rare chronic infection, caused by gram-positive bacteria from the Actinomyces species, which is part of the endogenous flora of the oral cavity, gastrointestinal and female genital tracts. In order to cause infection, disruption of the mucosal barrier is imperative. Long-standing IUD (intra-uterine device) is a risk factor. We, hereby, present a case of a 32-year-old woman who presented with lower abdominal pain and a tender mass. The inflammatory parameters increased progressively. There was a history of IUD usage. Ultrasound, Computed Tomography and Magnetic Resonance Imaging demonstrated a heterogeneous enhancing mass-like extending from the bladder to the rectus abdominis muscle, with restricted diffusion and extensive regional oedema. Aspiration cytology revealed bacteria Parvimonas micra and polymorphonuclear leukocytes. However, the patient underwent surgery and the histopathological findings showed an abscess with microorganisms compatible with Actinomyces.
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Sociedade Portuguesa de Radiologia e Medicina Nuclear
2022
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oai:scielo:S2183-135120220002000272022-10-28Pelvic ActinomycosisVeiga,JoséSantos,Margarida Varela dosDias,João Lopes Actinomycosis Actinomyces Bacterial infection Pelvic infection Intrauterine Device Magnetic resonance imaging. Abstract Actinomycosis is a rare chronic infection, caused by gram-positive bacteria from the Actinomyces species, which is part of the endogenous flora of the oral cavity, gastrointestinal and female genital tracts. In order to cause infection, disruption of the mucosal barrier is imperative. Long-standing IUD (intra-uterine device) is a risk factor. We, hereby, present a case of a 32-year-old woman who presented with lower abdominal pain and a tender mass. The inflammatory parameters increased progressively. There was a history of IUD usage. Ultrasound, Computed Tomography and Magnetic Resonance Imaging demonstrated a heterogeneous enhancing mass-like extending from the bladder to the rectus abdominis muscle, with restricted diffusion and extensive regional oedema. Aspiration cytology revealed bacteria Parvimonas micra and polymorphonuclear leukocytes. However, the patient underwent surgery and the histopathological findings showed an abscess with microorganisms compatible with Actinomyces.info:eu-repo/semantics/openAccessSociedade Portuguesa de Radiologia e Medicina NuclearActa Radiológica Portuguesa v.34 n.2 20222022-08-01info:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000200027en10.25748/arp.25172 |
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Veiga,José Santos,Margarida Varela dos Dias,João Lopes |
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Veiga,José Santos,Margarida Varela dos Dias,João Lopes Pelvic Actinomycosis |
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Veiga,José Santos,Margarida Varela dos Dias,João Lopes |
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Veiga,José |
title |
Pelvic Actinomycosis |
title_short |
Pelvic Actinomycosis |
title_full |
Pelvic Actinomycosis |
title_fullStr |
Pelvic Actinomycosis |
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Pelvic Actinomycosis |
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pelvic actinomycosis |
description |
Abstract Actinomycosis is a rare chronic infection, caused by gram-positive bacteria from the Actinomyces species, which is part of the endogenous flora of the oral cavity, gastrointestinal and female genital tracts. In order to cause infection, disruption of the mucosal barrier is imperative. Long-standing IUD (intra-uterine device) is a risk factor. We, hereby, present a case of a 32-year-old woman who presented with lower abdominal pain and a tender mass. The inflammatory parameters increased progressively. There was a history of IUD usage. Ultrasound, Computed Tomography and Magnetic Resonance Imaging demonstrated a heterogeneous enhancing mass-like extending from the bladder to the rectus abdominis muscle, with restricted diffusion and extensive regional oedema. Aspiration cytology revealed bacteria Parvimonas micra and polymorphonuclear leukocytes. However, the patient underwent surgery and the histopathological findings showed an abscess with microorganisms compatible with Actinomyces. |
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Sociedade Portuguesa de Radiologia e Medicina Nuclear |
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2022 |
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http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000200027 |
work_keys_str_mv |
AT veigajose pelvicactinomycosis AT santosmargaridavarelados pelvicactinomycosis AT diasjoaolopes pelvicactinomycosis |
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1756003962275758080 |