Snapshot A 40-year-old woman presents to her gynecologist for discomfort after having an intrauterine device implanted. She has noted some yellow-tinged fluids when wiping, reports feeling some irritation, and had a low-grade fever. On physical exam, yellow fluid is noted draining from the cervical os. A pap smear is done, which reveals branching filamentous gram + rods. Introduction Classification login to view 5 more bullets Associated conditions login to view 1 more bullet Epidemiology Demographics login to view 1 more bullet Location login to view 2 more bullets Risk factors login to view 5 more bullets ETIOLOGY Pathogenesis login to view 1 more bullet Presentation Symptoms login to view 1 more bullet Physical exam login to view 7 more bullets Studies Labs login to view 5 more bullets Making the diagnosis login to view 1 more bullet Differential Nocardiosis login to view 4 more bullets Treatment Conservative login to view 3 more bullets Medical login to view 5 more bullets Operative login to view 3 more bullets Complications Fistula formation Scarring Prognosis Slowly progressive over weeks to months May relapse even after treatment