Uterine actinomycosis. A case report and review.

Current literature documents an association between intra-uterine contraceptive usage and genital tract colonization or infection with actinomycosis. Uterine involvement, however, is extremely rate. A case of severe pelvic infection with uterine perforation due to an actinomycosis fistula as confirmed by tissue is presented. The condition of actinomycosis is reviewed with special attention to involvement of the female pelvic organs and the difficulties in diagnosis.