본 고신의료원 산부인과에서는 비교적 드문 것으로 알려진 여성생식기내 방선균증 3예를 경험하였는바 이는 모두 자궁내 피임장치와 동반되어 이었다. 이중 2예는 정기적 자궁경부 세포진검사를 통하여 경미한 증세의 방선균증이 진단되었으며 특히 한예는 2달뒤 재발하여 자궁내막조직검사로 방선균증이 재확인된 예였다. 또 한예는 방선균으로 인하여 골반내 농양을 형성한 경우로 총 3예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

It has been known that actinomycosis rare in human, especially in the female genital tract without any predisposing factors. some cases of actinomycotic pelvic inflamatory disease in IUD users were reported and its correlation has been studied by sereral investigators. Someone reported that actinomycotic pelvic infection occured more in IUD users especially, plastic device and with long duration. In contrast, Others suggested that actinomycoces was commmensal in the female genital tract and it developed opportunistic infection irrespective of IUD presence. it was supposed that actinomycosis was screened by Papanicolaou stain and confirmed by culture with immunofluorescent staining. We have experienced 3 cases of actinomycosis-two cases detected on routine Pap. smear and one case of pelvic abscess confirmed by pathologic specimen-in IUD users and reported them with a review of literature.