Re: Actinomyces

From: art fougner, md (evsono@pipeline.com)
Fri Mar 10 07:23:58 2006


Having dealt with a patient with pelvic actinomycosis iud-related, i would pull the iud ... not evidence-based, mind you, but once bitten, twice shy.

art

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
>

--
art fougner, md
Support Free Speech
Buy Danish!




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L 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: Mon Nov 2 05:02:23 2009

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.