Actinomycosis of Bladder and Intrauterine Devices

Villani, U; Leoni, S.; Pastorello, Mauro; Casolari, E.; Manferrari, F.

doi:10.1111/j.1464-410x.1987.tb05015.x

Cited by 9 publications

(11 citation statements)

References 4 publications

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“…Urinary tract infections have been reported in rare cases among women with vesicular actinomycosis. Villani et al published report of a 32‐year‐old woman with a 7‐year history of IUD, presenting with actinomycosis of the bladder 18 . Actinomyces israeli , a gram‐positive, facultative anaerobic, filamentous rod, 19 has been reported to cause actinomycosis of the genital tract following IUD placement.…”

Section: Resultsmentioning

confidence: 99%

Intrauterine devices as an exposure risk for urinary tract infections: A scoping review

Abraham

Lipworth

et al. 2021

American J Rep Immunol

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Background The intrauterine device (IUD) as a potential source of uro‐gynecologic infection has raised concern for decades. While a causal link between IUD and pelvic inflammatory disease has been refuted, the relationship between IUDs and urinary tract infections (UTIs) remains incompletely understood. Methods We used a PubMed, CINAHL, and Cochrane Library search strategy to identify studies evaluating UTI occurrence and microbial signatures among women exposed to IUD. We evaluated the question, "what is currently known about the IUD as an exposure risk for UTIs?" Results Nine studies met inclusion criteria and were summarized in this structured, scoping review. Studies to date have not reported a significant association between IUD exposue and UTI occurence. While all nine studies acknowledged the breadth of contraceptive methods, none evaluated the impact of different IUD types (i.e., copper vs. hormone‐eluting) on UTI incidence. Conclusion Small sample sizes and inconsistent UTI definitions limit the current literature. Future studies should rigorously define the UTI phenotype and evaluate the association of UTI with IUD exposure accounting for known covariates.

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Section: Resultsmentioning

confidence: 99%

Intrauterine devices as an exposure risk for urinary tract infections: A scoping review

Abraham

Lipworth

et al. 2021

American J Rep Immunol

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“…Approximately 20%‐30% of actinomycotic infections involve the pelvis . 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 .…”

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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“…Actinomycosis of the bladder presents as lower abdominal pain, urgency and recurrent cystitis. Trauma and intrauterine devices may contribute to the infection (King and Lam, 1978;Villani et al, 1987).…”

Section: Commentmentioning

confidence: 99%

“…The diagnosis is mainly histological. Actinomycosis should be considered in the differential diagnosis of every bladder mass (King and Lam, 1978;Villani et al, 1987).…”

Section: Commentmentioning

confidence: 99%