Pathognomic of Actinomyces pelvic infection in IUCD users is?
Tubo-ovarian abscess with the classic "Sulphur granules"are observed histologically along with gram positive filaments. Approximately 7% of women using an IUD may have a finding of Actinomyces-like organisms on a Pap test. In the absence of symptoms, women with Actinomyces-like organisms on a Pap test do not need antimicrobial treatment or IUD removal. Actinomyces israelli is the species most commonly associated Plastic ine IUDs are associated with a greater prevalence of Actinomyces infection than are copper-bearing IUDs. IUD removal, antibiotic treatment, are recommended.
Raised ESR.
Present of granuloma in microscopic lesion.
Presence of Sulphur granules.
Pelvic abscess
Contraceptives