Pain and an IUD: A Diagnostic Puzzle

A 54-year-old woman with an IUD develops Abdominal pain and difficulty walking. Discover the rare diagnosis behind her multiple abdominal abscesses.

Actinomycosis


A 54-year-old woman presented with abdominal pain and difficulty walking. Abdominal imaging showed multiple abscesses surrounding an intrauterine device (IUD). Aspiration with gram stain identified branching, filamentous, gram-positive rods. What is the most likely diagnosis?

What is the most likely diagnosis?

Actinomycosis
Aspergillosis
Crohn’s disease
Listeriosis
Nocardiosis

Abscess, Actinomycosis, Gram-Positive Rods, IUD, Pelvic Inflammatory Disease

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