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Pelvic colonization with Actinomyces in women using intrauterine contraceptive devices

  • Author Footnotes
    * Present address: Central Medical Bldg., 1800S. Limestone St., Suite 200, Lexington, Kentucky 40503.
    W.D. Hager
    Correspondence
    Center for Disease Control, Attention: Technical Information Services, Bureau of State Services, Atlanta, Georgia 30333
    Footnotes
    * Present address: Central Medical Bldg., 1800S. Limestone St., Suite 200, Lexington, Kentucky 40503.
    Affiliations
    From the Venereal Disease Control Division, Center for Disease Control, and the Departments of Gynecology and Obstetrics and of Pathology, Emory University School of Medicine, Atlanta, Georgia
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  • B. Douglas
    Affiliations
    From the Venereal Disease Control Division, Center for Disease Control, and the Departments of Gynecology and Obstetrics and of Pathology, Emory University School of Medicine, Atlanta, Georgia
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  • B. Majmudar
    Affiliations
    From the Venereal Disease Control Division, Center for Disease Control, and the Departments of Gynecology and Obstetrics and of Pathology, Emory University School of Medicine, Atlanta, Georgia
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  • Z.M. Naib
    Affiliations
    From the Venereal Disease Control Division, Center for Disease Control, and the Departments of Gynecology and Obstetrics and of Pathology, Emory University School of Medicine, Atlanta, Georgia
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  • O.J. Williams
    Affiliations
    From the Venereal Disease Control Division, Center for Disease Control, and the Departments of Gynecology and Obstetrics and of Pathology, Emory University School of Medicine, Atlanta, Georgia
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  • C. Ramsey
    Affiliations
    From the Venereal Disease Control Division, Center for Disease Control, and the Departments of Gynecology and Obstetrics and of Pathology, Emory University School of Medicine, Atlanta, Georgia
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  • J. Thomas
    Affiliations
    From the Venereal Disease Control Division, Center for Disease Control, and the Departments of Gynecology and Obstetrics and of Pathology, Emory University School of Medicine, Atlanta, Georgia
    Search for articles by this author
  • Author Footnotes
    * Present address: Central Medical Bldg., 1800S. Limestone St., Suite 200, Lexington, Kentucky 40503.
      This paper is only available as a PDF. To read, Please Download here.
      Recent reports suggest a relationship between intrauterine contraceptive device (IUD) use and colonization or infection of the genietal tract with Actinomyces species. This prospective, case-controlled study was designed to determine the incidence of colonization or infection with Actinomyces in IUD users. None of 50 control patients and four of 50 study patients (8%) had Actinomyces identified. None of the patients with positive results had symptomatic pelvic infection. Cervical cytology was effective in detecting each of the four study patients with positive results. It appears that the presence of any type of IUD is a major predisposing factor to colonization with Actinomyces.
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