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Re: Actinomycosis (symptomless) revealed by Pap smear From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk) Thu Aug 24 07:08:51 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby MD: "Re: Latex allergy" Previous message: Braun, R. Daniel: "Re: Latex allergy" Maybe in reply to: Antonio Attanasio: "Actinomycosis (symptomless) revealed by Pap smear" Next in thread: J. Hellriegel: "Re: Actinomycosis (symptomless) revealed by Pap smear" The main problem here is that smears often report AM-like organisms which aren't AM. There are other filamentous organisms that can be found one smear that are not AM and aren't pathological. AM is horrendously rare in the absence of a IUD (as far as I'm aware) and even then only occurs with non-CU IUCDs. -----Original Message----- From: attanasio@attanasio.com [mailto:attanasio@attanasio.com] Sent: 24 August 2000 10:37 To: Multiple recipients of list OB-GYN-L Subject: Actinomycosis (symptomless) revealed by Pap smear 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 ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This footnote also confirms that this email message has been swept by MIMEsweeper for the presence of computer viruses. ********************************************************************** Next message: Gail Waldby MD: "Re: Latex allergy" Previous message: Braun, R. Daniel: "Re: Latex allergy" Maybe in reply to: Antonio Attanasio: "Actinomycosis (symptomless) revealed by Pap smear" Next in thread: J. Hellriegel: "Re: Actinomycosis (symptomless) revealed by Pap smear"

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