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Actinomycosis (symptomless) revealed by Pap smearFrom: Antonio Attanasio (attanasio@attanasio.com)Thu Aug 24 04:36:27 2000
You did a Pap smear on your patient (who is quite well and came to your office just for a check-up). It came back normal but with signs of Actinomycosis. If your patient was wearing an IUD, you would probably suggest her to have it removed--but then, what? Would you treat her? If you would, how? With i.v. penicillin for quite a few weeks as suggested by textbooks? Wouldn't that be overtreating your patient? Would you suggest she take amoxicillin by mouth for a few days, just in case? But wouldn't that be undertreating your patient, thus exposing her to risks without any benefits? Would you tell her to forget about her actinomycosis and report back only if and when she gets symptoms? These are problems I cannot solve by myself. Your personal opinions would help me greatly. Thank you.
-- Antonio Attanasio
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