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Case Reports and Images in Obstetrics and Gynecology

 
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Case Report
 
Actinomycosis-like Propionibacterium propionicum infection associated with use of intrauterine contraceptive device: A case report
Fouzia Memon1, Ayesha Anwar1, Mohamed Matar1, Leon Jonker2
1North Cumbria University Hospitals NHS Trust, Department of Obstetrics & Gynaecology, Cumberland Infirmary, Carlisle, CA2 7HY, UK.
2PhD, University of Cumbria, Faculty of Health & Wellbeing, Carlisle, CA1 2HH, UK.

Article ID: 100020Z08FM2016
doi:10.5348/Z08-2016-20-CR-13

Address correspondence to:
Dr. Leon Jonker
Honorary Research Fellow
North Cumbria University Hospitals NHS Trust
Department of Obstetrics and Gynaecology
Cumberland Infirmary, Carlisle, CA2 7HY


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How to cite this article:
Memon F, Anwar A, Matar M, Jonker L. Actinomycosis-like Propionibacterium propionicum infection associated with use of intrauterine contraceptive device: A case report. J Case Rep Images Gynecol Obstet 2016;2:57–60.


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.

Keywords: Intrauterine contraceptive device, Pelvic abscess, Propionibacterium propionicum, Pyometra


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Author Contributions
Fouzia Memon – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ayesha Anwar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mohamed Matar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Leon Jonker – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Fouzia Memon et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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