CASE REPORT: RECURRENT PELVIC ABSCESS FOLLOWING PELVIC SURGERY DUE TO ACTINOMYCES INFECTION, A HIDDEN CULPRIT

Background: Actinomycosis is a slow-growing infection caused by Actinomyces bacteria. These bacteria normally live in the mouth and female reproductive tract without causing harm. Actinomyces.[1] It is a Gram-positive, microaerophilic or obligately anaerobic, rod-shaped bacterium that is part of the indigenous flora of the human oral cavity and the female genital tract. But if the protective lining of these areas is damaged, the bacteria can enter deeper tissues, leading to abscesses and firm lumps. The infection spreads slowly, often forming tunnels (sinus tracts) that reach nearby organs [Citation1]. It most often affects the face and neck, followed by the abdomen and chest [Citation2]. Although once thought to rarely involve the reproductive system, recent studies show pelvic actinomycosis—especially in women—is more common than previously believed [Citation2]. Schaalia radingae, formerly known as Actinomyces radingae, is a facultative anaerobic, Gram-positive, rod-shaped bacterium. In this case study we presents the rare case of a young woman presented with recurrent pelvic abscess after a pelvic surgery for dermoid cyst.