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Re: Actinomyces From: Efrain Ramirez (eramirezt@coqui.net) Sat Mar 11 09:59:17 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: Actinomyces" Previous message: Dean Huffman .: "Subject: Re: Actinomyces" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Actinomyces" Next in thread: Richard Chudacoff, MD: "Re: LGSIL/HGSIL paps" Well - there are two sides to the coin - if the lady gets pelvic actinomycosis - someone is going to ask for the slides - and ajá - "there they are and they did not have the decency to report it" -- the same situation is the one I see when radiologists report nuchal cords, my blood pressure goes up but -- it is up to me to explain to the patient that it is a common, dale que dale... Ef At Sat, 11 Mar 2006, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >At Fri, 10 Mar 2006, Rafael Haciski wrote: >> >>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 >> >I hate it when a pathologist gives incidental findings, Mr. pathologist >I did the pap smear to check for dysplastic cells if there was to much >bacterial overgrowth and you can't read it, well fine I will repeat it. >Sure actinomyces if part of the normal flora at the tip of an IUD, but >its also the normal flora the causes pelvic Actinomyosis and the law of >averages will will eventually see some of these asymptomatic women get >serious infections and there will be a nice record of it being there >before. Fortunately with the new thin prep methods I see actinomyces, >Trich. and Candida reported less often than the older >swab methods of PAP taking. > >-- > Take care, John > -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Henry Gregor: "Re: Actinomyces" Previous message: Dean Huffman .: "Subject: Re: Actinomyces" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Actinomyces" Next in thread: Richard Chudacoff, MD: "Re: LGSIL/HGSIL paps"

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