Indiana University Infectious Diseases Fellowship
10 Jul,
5 tweets, 3 min read
#idboardreveiw 45 F hx IUD w/ incarcerated, inguinal hernia. During surgery: hernial sac w/ putrid, inflammatory, tumorous formation around R ovary. Histopath highly active zone of abscess formation, w/ granular conglomerates of a filamentous organism. #idmedEd #medEd #idtwitter 
#Actinomycetes anaerobic, gram+ filamentous bacteria sulfur granules in tissue & highly sensitive to penicillin. This pt needs tx as abscess but in general #Actinomyces normal GI flora & asymptomatic female genital colonization is not uncommon, especially if an IUD is in place
presence of an #actinomyces like organism on a PAP smear does not require a culture for confirmation, nor is any intervention such as IUD removal necessary if the woman is asymptomatic. If +PID needs usual work up of cervical culture, ultrasound, and antimicrobial therapy
Previous case abdominal #actinomycosis
https://twitter.com/iuidfellowship/status/1311089910745571328
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