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Re: Actinomyces From: S Osterling M.D. (sdoesterling-obgyndotnet@yahoo.com) Fri Mar 10 07:43:43 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: Cystometrics" Previous message: William D. McIntosh, M.D: "Re: South Dakota law bans nearly all abortions" In reply to: art fougner, md: "Re: Actinomyces" Next in thread: Rafael Haciski: "Re: Actinomyces" Reply: Rafael Haciski: "Re: Actinomyces" There was a recent (late 1990's) grey journal article about this. They argued that it is part of floral and that it should not be removed. I work for a big county health system and get this call once or twice a year. We never pull them or treat for it. On Mar 10, 2006, at 6:25 AM, art fougner, md wrote: > 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! > S. Osterling M.D. California Next message: Henry Gregor: "Re: Cystometrics" Previous message: William D. McIntosh, M.D: "Re: South Dakota law bans nearly all abortions" In reply to: art fougner, md: "Re: Actinomyces" Next in thread: Rafael Haciski: "Re: Actinomyces" Reply: Rafael Haciski: "Re: Actinomyces"

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