Intrauterine Device-Associated Actinomycosis of the Ovary and Urinary Bladder: A Case Report

Bottai, Andrea; Marzi, Vincenzo Li; Alessandrini, Marco; Villari, Donata; Nesi, Gabriella; Nicita, Giulio

doi:10.1159/000316069

Cited by 5 publications

(6 citation statements)

References 29 publications

(12 reference statements)

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“…While the organism can be found as a normal flora inhabiting the oral and gastrointestinal tract in normal people, clinical actinomycosis occurs most commonly in the cervicofacial (~60%), abdomino-pelvic (22%) and thoracic (15%) regions [1,3,[4][5][6]7]. Actinomycosis rarely involves the genito-urinary system and it is usually secondary to abdomino-pelvic infection [6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…Multiple cases of actinomycosis have been reported relating to female pelvic actinomycosis and the use of an IUD [1,5,[7][8][9]. One study has identified ninety-two cases of actinomycotic abscesses associated with retained IUD or intravaginal foreign bodies with an average of 8 years in situ while less than 16% of the cases had IUD for less than 3 years [5].…”

Section: Discussionmentioning

confidence: 99%

“…In terms of laboratory investigations, about 70% of the patients were anaemic and had leukocytosis on blood profile [5][6][7][8]10]. …”

Section: Discussionmentioning

confidence: 99%

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Bladder Actinomycosis: Mimicking Tumour

OW¹

2013

J Cytol Histol

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Actinomycosis is a chronic, granulomatous disease caused by the actinomyces species, most commonly, Actinomyces israelii. Primary actinomycosis of the bladder is rare and is usually associated with abdomino-pelvic infection and prolonged use of Intrauterine Device (IUD). On imaging, it can often be mistaken for a malignancy. We report a case of a 55-year-old female with weight loss, anaemia and chronic pelvic discharge with a history of a retained IUD. An initial Computerized Tomography (CT) revealed an adnexal mass that was pelvically resected. A rigid cystoscopy was then performed and an incidental posterior bladder wall mass revealed actinomycosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Bladder Actinomycosis: Mimicking Tumour

OW¹

2013

J Cytol Histol

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“…On macroscopic examination, these effusions range from serosanguinous to densely purulent, and cytology may not always detect the bacteria . Microbiologic cultures may be confirmatory, although for Actinomyces , only a minority of cultures return positive results …”

Section: Cytopathology Of Nocardia and Actinomyces On Exfoliative Spementioning

confidence: 99%

“…However, primary vesical actinomycosis is an extremely rare entity with a total of 10 cases reported in the literature to date . More frequently, actinomycosis involving the urinary bladder occurs secondary to direct extension from a primary infectious source in a neighboring pelvic organ . Jang et al reported a single patient with the initial diagnosis of primary vesical actinomycosis made on routine urine cytology .…”

Section: Cytopathology Of Nocardia and Actinomyces On Exfoliative Spementioning

confidence: 99%

The cytopathology of Actinomyces, Nocardia, and their mimickers

McHugh

Sturgis

Procop

et al. 2017

Diagnostic Cytopathology

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Nocardia species and Actinomyces species are 2 of the most commonly diagnosed filamentous bacteria in routine cytopathology practice. These genera share many overlapping cytomorphologic features, including their thin, beaded, branching, Gram-positive, GMS-positive filamentous structures that fragment at their peripheries into bacillary- and coccoid-appearing forms. Features that help distinguish between these 2 microorganisms include the width of their filamentous structures, the angles at which they branch, and their ability or lack thereof to retain a modified acid-fast stain. In addition to cytomorphologic overlap, overlap in clinical presentation is frequent with pulmonary and mucocutaneous presentations seen in both. Differentiating between Nocardia and Actinomyces is essential because patients with these infections require different approaches to medical management. Both antibiotic susceptibilities and the need for early surgical intervention as part of the treatment plan vary greatly among these 2 groups. This review focuses on the clinical presentation, cytomorphology and staining characteristics that can be useful in identifying and distinguishing between Nocardia and Actinomyces infections, as well as their mimickers.

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A Case of Pelvic Actinomycosis Affecting genital, Urinary and Digestive Tracts: a Rare Misleading Diagnosis

et al. 2021

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Pelvic actinomycosis is an uncommon chronic invasive disease caused by a bacteria of the Actinomyces spp. Its diagnosis constitutes a clinical challenge and is usually reached in the postoperative period after resecting a pelvic mass that usually mimics advanced ovarian cancer. Although pelvic actinomyocosis involving the digestive and genital tract has been commonly described, very few reports have described cases involving both ovaries and requiring partial cystectomy for bladder involvement. Herein, we illustrate a case of pelvic actinomycosis with extensive involvement of multiple pelvic organs, misleading the surgeon into undergoing a complete clearance of the wrongfully thought adnexal malignancy.

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Intrauterine Device-Associated Actinomycosis of the Ovary and Urinary Bladder: A Case Report

Cited by 5 publications

References 29 publications

Bladder Actinomycosis: Mimicking Tumour

Bladder Actinomycosis: Mimicking Tumour

The cytopathology of Actinomyces, Nocardia, and their mimickers

A Case of Pelvic Actinomycosis Affecting genital, Urinary and Digestive Tracts: a Rare Misleading Diagnosis

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