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Objectives: To analyze clinical and laboratory characteristics of patients wit h pelvic actinomyces. Study design: We studied five patients with pelvic actinom yces who were admitted between January 1, 2002 and December 31,2002. The initial complaints, diagnostic methods, therapeutic alternatives and results of the the rapies were examined. Results: The ages of the cases varied between 32 and 52 ye ars old. All five patients had been using an intrauterine device. Three cases ha d hydronephrosis due to infection. Two patients were diagnosed postoperatively w hile the other three cases were diagnosed with cervical smear and endometrial bi opsy; penicillin G was administered to all. The patients are still under surveil lance, and without any problems. Conclusion: In patients with an intrauterine de vice, actinomyces should be remembered in differential diagnosis of pelvic infec tions. Preoperative diagnosis is of the utmost importance in order to prevent mo rbidity of this infiltrative infection. Longterm penicillin therapy proved to be successful. Complicated or resistant cases to medical therapy should be candida tes for surgical therapy.
Objectives: To analyze clinical and laboratory characteristics of patients wit h pelvic actinomyces. Study design: We studied five patients with pelvic actinom yces who were admitted between January 1, 2002 and December 31, 2002. The initial complaints, diagnostic methods, therapeutic alternatives and results of the rapies were examined. Results: The ages of the cases varied between 32 and 52 ye ars old. All five patients had been using an intrauterine device. Three cases ha d hydronephrosis due to infection. Two patients were diagnosed postoperatively w hile the other three cases were diagnosed with cervical smear and endometrial bi opsy; penicillin G was administered to all. The patients are still under surveil lance, and without any problems. Conclusion: In patients with an intrauterine de vice, actinomyces should be remembered in differential diagnosis of pelvic infec tions. Preoperative diagnosis is of the utmost importance in order to prevent mo rbidity of this infiltrative in fection. Longterm penicillin therapy proved to be successful. Complicated or resistant cases to medical therapy should be candida tes for surgical therapy.