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Re: Actinomyces From: Dr Eberhard Lisse (el@lisse.NA) Fri Mar 10 11:29:12 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rafael Haciski: "Re: Actinomyces" Previous message: Rafael Haciski: "Re: Actinomyces" In reply to: Rafael Haciski: "Re: Actinomyces" Next in thread: Rafael Haciski: "Re: Actinomyces" Reply: Rafael Haciski: "Re: Actinomyces" Pull it and put her on Penicillin for 6 weeks at least. on 3/10/06 8:13 PM Rafael Haciski said the following: > 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: Rafael Haciski: "Re: Actinomyces" Previous message: Rafael Haciski: "Re: Actinomyces" In reply to: Rafael Haciski: "Re: Actinomyces" Next in thread: Rafael Haciski: "Re: Actinomyces" Reply: Rafael Haciski: "Re: Actinomyces"

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