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題 名 | Non-Surgical Treatment of Pelvic Actinomycosis Associated with a Pelvic Abscess: A Case Report=非手術性治療骨盆腔放線菌症併骨盆腔膿瘍 |
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作 者 | 歐育哲; 黃宣為; 張簡展照; 張旭陽; 林浩; | 書刊名 | 臺灣婦產科醫學會會刊雜誌 |
卷 期 | 42:4 2003.12[民92.12] |
頁 次 | 頁265-270 |
分類號 | 417.3 |
關鍵詞 | 放線菌症; 骨盆腔膿瘍; 子宮內避孕器; Actinomycosis; Pelvic abscess; Intrauterine device; |
語 文 | 英文(English) |
中文摘要 | 目的:骨盆腔放線菌症是一種罕見疾病,一般行外科手術治療,尤其是子宮併雙側卵巢輸卵管切除。我們報告一病例以抗生素治療成功之骨盆腔放線菌症及巨大膿瘍。病例報告:一位47歲女性,因漸歇發燒及腹漲前來求診。白血球計數達49.3×十的九次方/1;電腦斷層顯示巨大囊狀腫瘤。血液細菌培養顯示葡萄球菌感染;子宮內膜刮除之病理檢查顯示炎性反應併放線菌症。所以我們依據敏感性試驗給予抗生素治療,出院後持續以口服抗生素治療一個月,恢復情況良好,三個月後超音波檢查並無復發之情形。結論:骨盆腔放線菌症非常罕見,不易作早期診斷。在放置子宮內避孕器之婦女,若懷疑有骨盆腔膿瘍,子宮內膜取樣可提供診斷的依據。其他菌種的共同感染應列入考慮之中。依據敏感性試驗給予抗生素治療,可以完全治癒並避免手術併發症。 |
英文摘要 | Objective: Most cases of pelvic actinomycosis undergo surgical extirpation, usually by means of a hysterectomy and a bilateral salpingo-oophorectomy. We report a case of pelvic actinomycosis associated with a pelvic abscess 15 cm in diameter which was completely resolved after medical treatment alone. Case Report(s): A 47-year-old woman was transferred to our hospital due to intermittent fever and progressive abdominal distention for 2 weeks. Removal of the IUD and an endometrial curettage were pertormed by a private practician. The pathological report of the endometrium from the private practician revealed suppurative inflammation with actinomycosis. Computerized tomography showed a huge pelvic abdominal cystic mass 15 cm in diameter extending to the bilateral paracolic gutter. A staphylococcus infection was documented from the blood culture result. So, antibiotics were shifted to intravenous gentamycin (60 mg q8h) and chloramphenical (1 g/day). The fever then subsided, and the mass shrunk. The patient was discharged, and oral antibiotic therapy was maintained for 1 more month. She was free of symptoms and with no complications in the follow-up visits. A pelvic ultrasonographic examination 3 months later showed complete resolution of the pelvic mass. Conclusions(s): Pelvic actinomycosis is a rare pelvic inflammatory disease. Co-infection with other microorganisms should always be taken into consideration and may provide additional information for treatment. |
本系統中英文摘要資訊取自各篇刊載內容。