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Re: Actinomyces From: Rafael Haciski (haciski@earthlink.net) Fri Mar 10 11:12:55 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: Actinomyces" Previous message: Henry Gregor: "Re: Cystometrics" In reply to: S Osterling M.D.: "Re: Actinomyces" Next in thread: Dr Eberhard Lisse: "Re: Actinomyces" Reply: Dr Eberhard Lisse: "Re: Actinomyces" Thanks for the responses. I too am tempted to leave it alone, although will discuss with patient and offer her the choice (CYA). The thing that puzzles me is that if this is part of normal flora, why do they nor report it more often (I can not remember the last time I had a PAP come back with Actinomyces)? And if this is indeed normal flora, and therefore not reported, why did they report it now (we did not mark on the PAP form that she had an IUD)? -- Rafael Haciski MD FACOG Palmetto, FL On Mar 10, 2006, at 9:47 AM, S Osterling M.D. wrote: > There was a recent (late 1990's) grey journal article about this. > They argued that it is part of floral and that it should not be > removed. > > I work for a big county health system and get this call once or > twice a year. > > We never pull them or treat for it. > > On Mar 10, 2006, at 6:25 AM, art fougner, md wrote: > >> Having dealt with a patient with pelvic actinomycosis iud-related, i >> would pull the iud ... not evidence-based, mind you, but once >> bitten, >> twice shy. >> Next message: Dr Eberhard Lisse: "Re: Actinomyces" Previous message: Henry Gregor: "Re: Cystometrics" In reply to: S Osterling M.D.: "Re: Actinomyces" Next in thread: Dr Eberhard Lisse: "Re: Actinomyces" Reply: Dr Eberhard Lisse: "Re: Actinomyces"

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