-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Actinomyces on pap in a woman with and IUD From: Scott Oesterling (scottoesterling@sbcglobal.net) Mon Dec 5 21:14:44 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: HIPAA" Previous message: zygote@icsi.net: "Re: HIPAA" In reply to: Efrain Ramirez: "Re: Actinomyces on pap in a woman with and IUD" I followed up on my own question and found and article in the grey journal: Pelvic actinomycosis:A review and preliminary look at prevalence Jack Lippes, MD Buffalo, New York A review of the literature on pelvic actinomycosis reveals that actinomycetes normally reside in the female genital tract.Therefore the identification of actinomycetes in the vagina or cervix by any laboratory technique, including Papanicolaou smears with specific immunofluorescence or culture, is not diagnostic of any disease and is not predictive of any disease.The evidence strongly suggests that removal of the intrauterine contraceptive device of a patient with a positive culture is not necessary and that, in the absence of evidence for pelvic infection, antibiotics are not required.Pelvic actinomycosis is a rare disease whose pathogenesis is poorly understood.(Am J Obstet Gynecol 1999;180:265-9.) Anecdotally, my practice serves about 10,000 screened women annually and I get this call once a year. I have never got the call " I have a lady with actinomyces on pap, she is not on the IUD". It seems that they only detect it or report it with IUD. On Dec 5, 2005, at 3:55 PM, Efrain Ramirez wrote: > I asked my path lab - they do not have a number - but anecdotally - > very, very rare - so they are overlooking it or, it is one of those > issues where different patients/locations are important..??? I'll try > to > come up with a better estimate. > > Ef > >> At Mon, 05 Dec 2005, Dr Eberhard W Lisse wrote: >> >> Three in the last tw years, three in the preceeding 13. >> >> el >> >> In message <200512050518.jB55Icf24562@dns.obgyn.net>, Efrain Ramirez >> writes: >>> El, how many cases of Actinomyces complicating IUD have you seen? >>> >>> Ef > > -- > Ability is what you're capable of doing. > Motivation determines what you do. > Attitude determines how well you do it. > > - Lou Holtz > > ~walt whitman~ > -- Scott Oesterling Next message: DoctorJoe@aol.com: "Re: HIPAA" Previous message: zygote@icsi.net: "Re: HIPAA" In reply to: Efrain Ramirez: "Re: Actinomyces on pap in a woman with and IUD"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:41:56 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.