Myalgia and swelling of interphalangeal joints as side-effect of prolonged azithromycin therapy in patient with pelvic actinomycosis: Case report

Actinomycosis is a bacterial, slowly progressive infection that can affect virtually any site in the body. Actinomyces normally colonize the mouth, colon and vagina and entrance for Actinomyces in the pelvis is ascension via any type of intrauterine contraceptive device (IUCD). Recommended therapy for actinomycosis is penicillin intravenously for 2-6 weeks, followed by oral therapy with penicillin or amoxicillin for 6-12 months. Tetracycline, erythromycin, minocycline and clindamycin are other suitable alternatives.