Group A streptococcus necrotising fasciitis from a levonorgestrel-containing intrauterine system (‘Mirena’ coil)

Saleh, Sepeedeh; Gharehbaghian, Ahmad; Majumdar, Abha

doi:10.3109/01443615.2010.529962

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…1 Our differential diagnosis also included an infected or ruptured ovarian cyst or a dermoid cyst but they were not present on the USS 5 months prior to the patient's first admission and were not proven with pathology examination. 2 3 …”

Section: Discussionmentioning

confidence: 99%

Hydronephrosis and loin pain as a presentation of tubo-ovarian abscess developing after Mirena coil removal: Figure 1

2012

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SummaryWe present an unusual and complicated case of a 39-year-old woman who was admitted three times in hospital over a period of 4 weeks, with abdominal pain initially and then right loin pain, fever and feeling generally unwell. She was investigated on each admission with different diagnoses set each time, but only on her last admission due to persisting symptoms, an MRI scan revealed a tubo-ovarian abscess associated with pelvic inflammatory disease (PID). We believe that the PID had developed secondary to the intrauterine device and a few weeks after the removal of the Mirena coil she was diagnosed with a tubo-ovarian abscess. As the case unfolds, we will introduce the possible diagnoses and causes that were likely to have led to the development of the abscess. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Hydronephrosis and loin pain as a presentation of tubo-ovarian abscess developing after Mirena coil removal: Figure 1

2012

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“…През 1977 г. за първи път е описан случай на моноартикуларен артрит на дясното рамо, свързан със стрептококова група А септицемия, в резултат на инфектирана спирала тип "Lippe's loop" [14]. Описана е също инфекция с некротизиращ фасциит на дясно рамо след поставяне на левоноргестрел-съдържащо интраутеринно устройство, от което са изолирани стрептококи група А [15]. За разлика от тези случаи при нашата пациентка се установи асептичен артрит, без данни за токсичен стрептококов синдром.…”

Section: Fig 1 Us Data For Persisting Iud In the Uterine Cavity And Uterine Wall Of The Patientunclassified

“…In 1977 a case of group A streptococcal septicemia with a monoarticular arthritis of the right shoulder, originating from an infected Lippe's loop has been described [14]. Disseminated infection with necrotizing fasciitis of the right shoulder was also observed after insertion of a levonorgestrel-containing intrauterine system, and the cultures from the coil and vaginal swabs were positive for group A streptococcus [15]. In the opposite to these studies, in our case the right shoulder arthritis was aseptic and no clinical evidence of streptococcal toxic shock syndrome was available.…”

Section: Fig 1 Us Data For Persisting Iud In the Uterine Cavity And Uterine Wall Of The Patientmentioning

confidence: 99%

Oligoarthritis associated with a “forgotten” IUD – a case report

Tanev¹,

Robeva²,

Hassan³

et al. 2020

BRJ

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Reactive arthritis has been defined as an aseptic inflammatory arthritis associated with a concomitant infectious disease. Usually, the symptoms develop during or soon after a symptomatic infectious disease, however, in both sexes genitourinary infections might be asymptomatic. Herein, we presented a case of a 68-year old woman with oligoarthritis associated with a “forgotten” intrauterine device (IUD). The IUD was successfully removed by laparoscopy leading to a full resolution of symptoms and improvement of inflammatory markers. The presented case shows that asymptomatic genital infection should be considered in case of suspected infection-related arthritis without clear etiological cause, especially in women with IUD. The in-depth training of patients regarding the proper use of contraception methods as well as the regular gynaecological examinations might help to prevent further similar cases.

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“…Whilst a very rare occurrence, cases of invasive group A streptococcus have been reported following insertion of intrauterine contraceptive methods (Venkataramanasetty et al 2009;Saleh et al 2011;Gisser et al 2002;Cho and Fernando 2013). Although asymptomatic women do not need to be screened for group A streptococcus prior to IUD insertion, women found to be carrying the organism in the vagina should be treated (Faculty of Sexual and Reproductive Healthcare 2015).…”

Section: Sepsismentioning

confidence: 99%

Medicines For Women

Harrison‐Woolrych¹

2015

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Group A streptococcus necrotising fasciitis from a levonorgestrel-containing intrauterine system (‘Mirena’ coil)

Cited by 5 publications

References 8 publications

Hydronephrosis and loin pain as a presentation of tubo-ovarian abscess developing after Mirena coil removal: Figure 1

Hydronephrosis and loin pain as a presentation of tubo-ovarian abscess developing after Mirena coil removal: Figure 1

Oligoarthritis associated with a “forgotten” IUD – a case report

Medicines For Women

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