放射菌症是由放射菌引發的罕見機會性感染,在長期使用子宮內避孕器的婦女中,其流行率有增加之趨勢。由於影像學檢查之結果很難與惡性腫瘤區分,易誤導醫師行不必要的手術。由於放射菌症對抗生素治療效果顯注,正確的診斷更顯重要。本院報告一位37歲女性病人,因長期使用子宮內避孕器造成骨盆腔放射菌症併侵犯膀胱,在使用適當的抗生素後,病灶完全消除。我們同時回顧文獻。
Actinomycosis is a rare disease caused by Actinomyces israelii with opportunistic infection. There is an increased prevalence in woman with long-term use of IUDs. It is difficult to differentiate from malignant bladder tumors in appearance, leading to unnecessary operations. Actinomycosis responds well to antibiotic therapy. Early and correct recognition of the disease allows effective treatment. A 37-yr-old woman with IUD-associated pelvic actinomycosis is reported on herein, and the relevant literature is reviewed. She has shown complete recovery following sensitive antibiotic treatment.