Table 3.
Publications of cases of pelvic actinomycosis in Asia.
| Definitive diagnosis | Presumptive diagnosis | Definitive method of diagnosis | Previous use of IUD | Treatment and resolution | Number of cases Age (years) |
Reference |
|---|---|---|---|---|---|---|
| Actinomycotic abscesses (sulphur granules) | Sigmoid colon cancer and tumour in left ovary | Histopathological report | Yes (1 year) Type: ND∗∗ |
Segmented resection of the sigmoid colon, elimination of the left distal ureter, the left ovary and Fallopian tube, ampicillin, and amoxicillin Complete recovery |
1 36 |
1995, Kim et al. South Korea [13] |
|
| ||||||
| MSA∗ | Crohn's disease or ovarian cancer or pelvic abscess associated with the IUD | Histopathological report of the ovary | Yes (14 years) Type: ND |
Laparotomy, total hysterectomy, bilateral salpingo-oophorectomy, and anterior resection No date of resolution |
1 45 |
2009, Lim et al. Korea [14] |
|
| ||||||
| MSA | Tumour in the appendix | Histopathological report | ND | ND | 1 50 |
2010, Lee et al. South Korea [15] |
|
| ||||||
| Pelvic actinomycosis (A. israelii) | ND | Sonography-guided transvaginal needle aspiration | Yes (4 years) Type: multiload copper IUD |
Drainage, penicillin, and amoxicillin Complete recovery |
1 38 |
1996, Anteby et al. Israel [16] |
|
| ||||||
| Actinomyces, pelvic actinomycosis | Peritoneal carcinomatosis | Schiff and Grocott-Gomori acid tests | Yes (10 years) Type: ND |
Incomplete tumourectomy, ileal resection, partial cystectomy, colostomy and bilateral ureterocutaneostomy, and penicillin Significant improvement |
1 43 |
1999, Maeda et al. Japan [17] |
|
| ||||||
| Pelvic actinomycosis | Pelvic actinomycosis | Cervical Papanicolaou | Yes (21 years) Type: ND |
Ampicillin Almost complete recovery |
1 51 |
2007, Nozawa et al. Japan [18] |
|
| ||||||
| Pelvic actinomycosis | Ovarian malignancy | Gomori methenamine staining histopathology | No | Hysterectomy with bilateral salpingo-oophorectomy No date of resolution |
1 74 |
2012, Ikeda and Kato Japan [19] |
|
| ||||||
| Puncture pyometra caused by Actinomyces | Puncture pyometra | Microscopic examination, Gram staining of the uterus and intraperitoneal pus, and culture | No | Emergency abdominal hysterectomy and bilateral salpingo-oophorectomy, cefmetazole, and meropenem No date of resolution |
1 86 |
2013, Hagiya Japan [20] |
|
| ||||||
| Inflammation caused by MSA | Acute peritonitis due to perforated viscera | Histopathological report of the abdominal wall | Yes (20 years) Type: ND |
Laparotomy, resection, and penicillin Complete recovery |
1 50 |
2008, Devendra and Chen Singapore [21] |
|
| ||||||
| MSA | Pelvic actinomycosis | Papanicolaou, cervical culture and culture of IUD (without being able to be isolated), and histopathological report | Yes (15 years) Type: ND |
Laparotomy, amoxicillin, and penicillin Significant recovery |
1 40 |
2010, Fu and Tasi Taiwan [22] |
|
| ||||||
| MSA, Actinomyces spp. | Ovarian cancer | Histopathological report and culture of purulent material | No | Laparotomy, hysterectomy, penicillin, and streptomycin Complete recovery |
3 25, 31, and 35 |
2010, Munjal et al. India [23] |
|
| ||||||
| Endometrial actinomycosis | ND | Histopathological report of endometrial samples | No | Augmentin and amoxicillin No date of resolution |
1 52 |
2012, Sharma et al. India [24] |
|
| ||||||
| Ovarian actinomycosis | Ovarian cancer | Histopathological report | No | Laparoscopy, hysterectomy with salpingo-oophorectomy, and penicillin Total recovery |
1 39 |
2013, Vijaya et al. India [25] |
|
| ||||||
| Pelvic actinomycosis, Actinomyces | Ovarian cancer | Histopathological report | No | Total hysterectomy with bilateral salpingo-oophorectomy No date of resolution |
1 35 |
2013, Chalageri et al. India [26] |
|
| ||||||
| Total cases | 16 | |||||
∗MSA = microorganisms similar to Actinomyces.
∗∗ND = not disclosed.