Actinomycosis pelvic abscess after in vitro fertilization

Obehi A. Asemota, Eugenia Girda, Omar Dueñas, Genevieve Neal-Perry, Staci E. Pollack

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objective: To report a case of pelvic actinomycosis presenting as large, multiloculated abscesses after an in vitro fertilization (IVF) cycle for male factor infertility. Design: A case report and literature review. Setting: University hospital. Patient(s): A 31-year-old nulligravid woman presenting with urinary retention, pelvic pain, and fever 6 days after transvaginal oocyte retrieval and an embryo transfer for male factor infertility. Intervention(s): Intravenous and oral antimicrobial therapy, and computed tomography (CT)-guided drainage of pelvic abscesses. Main Outcome Measure(s): Clinical and radiologic resolution of symptoms and infection. Result(s): The CT scan revealed several large, multiloculated pelvic and tuboovarian abscesses. The patient defervesced after 6 days of intravenous antibiotics, but the pelvic pain did not improve. After CT-guided drainage of the pelvic abscesses, the patient's symptoms improved. The drained material was cultured, and the patient was diagnosed with pelvic actinomycosis tuboovarian abscesses, an infrequent cause of tuboovarian abscess and a rare complication of assisted reproductive technology (ART). The patient was switched from intravenous to oral antibiotics and discharged home. Conclusion(s): Pelvic Actinomyces israelii presenting as pelvic abscesses may occur as a rare complication of ART. Physicians should consider a diagnosis of tuboovarian abscess in a patient reporting fever and pelvic pain after IVF and embryo transfer.

Original languageEnglish (US)
Pages (from-to)408-411
Number of pages4
JournalFertility and Sterility
Volume100
Issue number2
DOIs
StatePublished - Aug 2013

Fingerprint

Actinomycosis
Fertilization in Vitro
Abscess
Pelvic Pain
Assisted Reproductive Techniques
Embryo Transfer
Male Infertility
Tomography
Drainage
Fever
Anti-Bacterial Agents
Oocyte Retrieval
Transfer Factor
Actinomyces
Urinary Retention
Outcome Assessment (Health Care)
Physicians

Keywords

  • Actinomyces israelii
  • assisted reproductive technology
  • in vitro fertilization
  • transvaginal ultrasound guided oocyte retrieval
  • tuboovarian abscess

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Actinomycosis pelvic abscess after in vitro fertilization. / Asemota, Obehi A.; Girda, Eugenia; Dueñas, Omar; Neal-Perry, Genevieve; Pollack, Staci E.

In: Fertility and Sterility, Vol. 100, No. 2, 08.2013, p. 408-411.

Research output: Contribution to journalArticle

Asemota, Obehi A. ; Girda, Eugenia ; Dueñas, Omar ; Neal-Perry, Genevieve ; Pollack, Staci E. / Actinomycosis pelvic abscess after in vitro fertilization. In: Fertility and Sterility. 2013 ; Vol. 100, No. 2. pp. 408-411.
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