» Articles » PMID: 26965406

Intrauterine Device Infection Causing Concomitant Streptococcal Toxic Shock Syndrome and Pelvic Abscess with Actinomyces Odontolyticus Bacteraemia

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2016 Mar 12
PMID 26965406
Citations 5
Authors
Affiliations
Soon will be listed here.
Abstract

Intrauterine devices (IUDs) are rarely associated with serious infections. We report an unusual concomitant infection of group A Streptococcus (GAS) causing toxic shock syndrome and pelvic abscess with Actinomyces odontolyticus associated with an IUD in a healthy 50-year-old patient. The IUD was subsequently removed and the patient recovered on the appropriate antibiotics. This case highlights the importance of clinicians' high index of suspicion of an IUD infection and prompt removal of the infected foreign body to obtain source control.

Citing Articles

Pelvic abscess associated with Actinomyces species ‒ a rare post-cesarean complication.

Wang Y, Ferrero S, Li S, Liu S, Yang W Case Rep Perinat Med. 2025; 11(1):20210048.

PMID: 40041214 PMC: 11800669. DOI: 10.1515/crpm-2021-0048.


Lemierre Syndrome involving (Formerly ) due to injection drug use into the neck.

Sukhavasi R, Gao N, Smith C, Schmalzle S IDCases. 2024; 38:e02104.

PMID: 39553249 PMC: 11566700. DOI: 10.1016/j.idcr.2024.e02104.


Abdominal Actinomycotic Abscess after Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Case Report.

Kim H, Lee H, Park E Medicina (Kaunas). 2023; 59(9).

PMID: 37763634 PMC: 10534873. DOI: 10.3390/medicina59091516.


Clinical Characteristics of Bacteremia.

Hsiao Y, Lee Y, Ho C, Tseng C, Wang J Medicina (Kaunas). 2021; 57(10).

PMID: 34684101 PMC: 8537041. DOI: 10.3390/medicina57101064.


Streptococcal toxic shock syndrome in the setting of recent gynecologic surgery: A case report.

Gruttadauria M, Pollard J, Kim S, Lian X Case Rep Womens Health. 2021; 32:e00352.

PMID: 34466390 PMC: 8385388. DOI: 10.1016/j.crwh.2021.e00352.


References
1.
Cho E, Fernando D . Fatal streptococcal toxic shock syndrome from an intrauterine device. J Emerg Med. 2013; 44(4):777-80. DOI: 10.1016/j.jemermed.2012.03.020. View

2.
Kongwattanakul K, Tribuddharat S, Prathanee S, Pachirat O . Postcaesarean open-heart surgery for Streptococcus sanguinis infective endocarditis. BMJ Case Rep. 2013; 2013. PMC: 3830404. DOI: 10.1136/bcr-2013-010103. View

3.
Laura D, Quinones A, Benenstein R, Loulmet D, Cole W, Galloway D . Giant nonfamilial left atrial myxoma presenting with eye embolism and nonvalvular Streptococcus sanguinis endocarditis. J Am Coll Cardiol. 2014; 63(19):2049. DOI: 10.1016/j.jacc.2013.12.059. View

4.
Stevens D, Gibbons A, Bergstrom R, Winn V . The Eagle effect revisited: efficacy of clindamycin, erythromycin, and penicillin in the treatment of streptococcal myositis. J Infect Dis. 1988; 158(1):23-8. DOI: 10.1093/infdis/158.1.23. View

5.
Elhassani M, Babahabib A, Kouach J, Kassidi F, El Houari Y, Moussaoui D . [Pseudo tumor pelvic actinomycosis associated with intrauterine device: report of three cases]. Pan Afr Med J. 2015; 19:87. PMC: 4335282. DOI: 10.11604/pamj.2014.19.87.4747. View