The relationship of genital tract actinomycetes and the development of pelvic inflammatory disease

The effect of a copper intra-uterine contraceptive device on the microbial ecology of the female genital tract

“…propionica were recovered from 14.8% devices, a finding comparable to those detected on smears (Hager et al, 1979;Burkman et al, 1982;Keebler et al, 1983), but greater than those reported by culture (Hager et al, 1979;Sparks et al, 1981) This may be attributed to improved techniques used in transporting and processing specimens. Similar to other reports (Hager et al, 1979;Burkman et al, 1982;Duguid et al, 1982;Nayer et al, 1985), A . israelii was the anaerobe most frequently isolated from IUCDs in our study and was not isolated from any controls.…”

“…naeslundii, A . odontolyticus and Arachnia propionica have been incriminated in these infections (Burkman et al, 1982;Bonnez et al, 1985;Nayar et al, 1985;Peloux et al, 1985). Although Actinomyces spp.…”

“…Although Actinomyces spp. are not part of the normal vaginal flora and are rarely recovered from this site, they have been found to colonise the genital tracts of 2 4~2 5 % of women wearing an IUCD (Sykes and Shelley 1981;Burkman et al, 1982;Keebler et al, 1983;Peloux et al, 1985). Some studies showed that these organisms tend to colonise mainly plastic devices and disappear when these are replaced by coppercontaining ones (Duguid et al, 1982;Keebler et al, 1983).…”

Changing trends in the usage of copper intrauterine contraceptive device: a five year institutional study

“…Other causes for removal of Cu-IUCD were: abnormal vaginal bleeding, abnormal vaginal discharge, lower abdominal pain and dysmenorrhoea. 16,17 There were 4 cases of missing threads in the study period and 3 of them were found to be in uterine cavity and only 1 was partially displaced into the cervical canal.…”

Ultrasound‐guided Transvaginal Aspiration in the Management of Actinomyces Pelvic Abscess

“…Endomctritis and tubo-ovarian abscess arc usually the earliest forms of pelvic actinomycosis. 4' The disease can spread locally and involve the ureters, bladder, and the rectum. 6 Extension to the abdominal wall, small bowel, and pelvic bones and distant hematogcnous dissemination may occur.…”