A premenopausal woman with fragmentation of a nonexpired copper intrauterine device and concomitant presence of Actinomyces species.
Actinomyces spp. has been shown to form biofilms when exposed to copper, possibly enhancing its degradation. Fragmentation and migration of the copper coil on an intrauterine device (IUD) is rare, but the concomitant presence of Actinomyces spp. may increase its incidence. We present the first case...
| Publicado en: | Baylor University Medical Center Proceedings Vol. 37; no. 6; pp. 976 - 979 |
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| Autores principales: | , , |
| Formato: | algorithm case study CEU exam questions pictorial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180359086&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180359086 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08998280 1XEP jtl: Baylor University Medical Center Proceedings issn: 08998280 maglogo: N pubinfo: dt: Nov2024 vid: 37 iid: 6 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 180359086 177828598 180359086 180359086 10.1080/08998280.2024.2365074 180359086 ppf: 976 ppct: 3 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A premenopausal woman with fragmentation of a nonexpired copper intrauterine device and concomitant presence of Actinomyces species. aug: au: Sprong, Blair Schwab, Garrett Titus, Stephen J. affil: Department of Family Medicine, Baylor University Medical Center, Dallas, Texas, USA sug: subj: Intrauterine Devices Adverse Effects Foreign-Body Migration Diagnosis Urogenital System Microbiology Education, Continuing (Credit) Female Premenopause Gram-Positive Bacteria Metabolism Biofilms Female ab: Actinomyces spp. has been shown to form biofilms when exposed to copper, possibly enhancing its degradation. Fragmentation and migration of the copper coil on an intrauterine device (IUD) is rare, but the concomitant presence of Actinomyces spp. may increase its incidence. We present the first case of a fragmented copper IUD within its lifespan of 10 years, with documented Actinomyces genitourinary tract colonization in a premenopausal woman. KEY POINTS: Actinomyces spp. are more prevalent in the urogenital tract of women with IUDs due to the local tissue injury from the device inside the uterus, which creates an anaerobic environment that allows this organism to flourish. Actinomyces spp. can form biofilms when exposed to copper, potentially enhancing its degradation, leading to fragmentation. Patients with a copper IUD and Actinomyces identified on routine or symptomatic cervical sampling should be counseled regarding potential enhanced copper degradation, fragmentation, and migration of the copper coil. pubtype: Academic Journal doctype: algorithm case study CEU exam questions pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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