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Re: Actinomycosis (symptomless) revealed by Pap smear From: J. Hellriegel (jhellrie@pce.net) Thu Aug 24 10:41:50 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: J. Hellriegel: "Re: Latex allergy" Previous message: Cheri Van Hoover: "Re: Latex allergy" In reply to: Antonio Attanasio: "Actinomycosis (symptomless) revealed by Pap smear" Next in thread: james connerth: "Re: Actinomycosis (symptomless) revealed by Pap smear" I have had a couple of these cases, but only with IUDs. I removed the IUD (and sent for culture - one neg. and one positive) and treated with Amoxicillin for weeks. Then retested the patient monthly for a couple of months. All were negative. Neither patient chose to use another IUD and neither has had any problems. -- J. Hellriegel At Thu, 24 Aug 2000, Antonio Attanasio wrote: > >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 > -- John Hellriegel, MD, PhD Next message: J. Hellriegel: "Re: Latex allergy" Previous message: Cheri Van Hoover: "Re: Latex allergy" In reply to: Antonio Attanasio: "Actinomycosis (symptomless) revealed by Pap smear" Next in thread: james connerth: "Re: Actinomycosis (symptomless) revealed by Pap smear"

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