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ActinomycesFrom: Rafael Haciski (haciski@earthlink.net)Thu Mar 9 22:27:11 2006
I received a report of actinomyces on a recent PAP in an asymptomatic, IUD wearing, late 20's aged patient (routine annual exam). While my immediate reaction is to remove the IUD (copper T if I recall correctly), am I over-reacting? Should I leave it alone? While on one hand there is a negative association with IUDs, Actinomyces is (although rarely reported on routine PAPs or vaginal cultures) considered a member of normal vaginal flora. What does the collective wisdom say?
-- Rafael Haciski MD FACOG Palmetto, FL
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