Image Based Question – 74479

The following pap smear shows infestation by:

A. Candida Herpes simplex virus type II

B. Herpes simplex virus type II

C. Trichomonas

D. Actinomyces

Correct Answer » D Explanation

Ans: D. Actinomyces

(Ref: Ananthanarayan 10Ie p398, 10Ie p398, 8Ie p393; lawetz 27/e p296; Harrison 19Ie p1089)

• The given image is Pap smear showing Actinomyces infection.
• Pelvic actinomycosis is a rare but proven complication of use of intrauterine devices.
• Actinomycotic involvement of the pelvis occurs most commonly in association with an IUCD.
• When an IUCD is in place or has recently been removed, pelvic symptoms should prompt consideration of actinomycosis.