Actinomyces turicensis Bacteremia Secondary to Pyometra.

Published on Jan 1, 2015in Internal Medicine1.005
· DOI :10.2169/INTERNALMEDICINE.54.4637
Hideharu Hagiya3
Estimated H-index: 3
(Okayama University),
Hiroko Ogawa19
Estimated H-index: 19
(Okayama University)
+ 3 AuthorsFumio Otsuka35
Estimated H-index: 35
(Okayama University)
Sources
Abstract
We herein present a rare case of Actinomyces turicensis bacteremia that was caused by pyometra. The patient was successfully treated with transvaginal drainage and antibiotic therapy. A literature review in MEDLINE showed that there have been only 8 previously reported cases of A. turicensis bacteremia. This infection frequently occurs in patients with visceral abscesses, and blood culture examinations usually reveal a polymicrobial pattern. However, the prognosis of such patients has been reported to generally be benign. Due to difficulties in performing bacterial identification and the wide-spectrum clinical pictures associated with this bacteremia, no comprehensive understanding of the clinical features of each Actinomyces species has yet been established.
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This chapter describes the normal anatomy, histology and microflora of the vagina and a selection of benign vaginal diseases, including inflammatory and other disorders, with an emphasis on their etiopathogenesis and morphological features that may be necessary to achieve their correct diagnoses. Pathologic differential diagnosis is described in detail, especially in entities which can be confused with some premalignant or malignant diseases, such as malacoplakia, vaginal cysts and tumour-like l...
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