Table 4.
Publications of cases of pelvic actinomycosis in Europe.
| Definitive diagnosis | Presumptive diagnosis | Definitive method of diagnosis | Previous use of IUD | Treatment and resolution | Number of cases Age (years) |
Reference |
|---|---|---|---|---|---|---|
| Actinomyces | Crohn's disease | Histopathological report of purulent material | Yes (20 months) Type: ND∗∗ |
Laparotomy, penicillin, and fusidic acid Complete recovery |
1 19 |
1985, Spickett and Kipping England [27] |
|
| ||||||
| MSA∗ | Ovarian cancer with metastasis | Histopathological report | Yes (4 years) Type: ND |
Total abdominal hysterectomy and bilateral salpingo-oophorectomy, and penicillin No date of resolution |
1 37 |
1997, Kirova et al. France [28] |
|
| ||||||
| Actinomycosis | ND | Papanicolaou | Yes (15 years) Type: copper IUD |
Amoxicillin/clavulanic acid and ofloxacin Complete recovery |
1 57 |
2013, Rajaonarison et al. France [29] |
|
| ||||||
| Actinomyces israelii | ND | Culture of drained sample | Yes (8 years) Type: copper IUD |
Drainage of abscess (colpoceliotomy), coamoxiclav Complete recovery |
1 53 |
2013, Tholozan et al. France [30] |
|
| ||||||
| MSA Inflammation caused by Actinomyces |
ND | Histopathological report | Yes (19 and 7 years) Type: ND |
Laparotomy, preoperative biopsy, resection of the tumour, resection of the necrotised tissues and partial cystectomy, hysterectomy, bilateral salpingo-oophorectomy, penicillin, and amoxicillin Complete recovery |
2 48 and 52 |
2000, Pérez García et al. Spain [31] |
|
| ||||||
| MSA | Malignant tumour formation | Histopathological report | ND | Laparotomy, resection of the central part of the epiploon and tumour formation, penicillin, and amoxicillin Significant improvement |
1 30 |
2009, García Martínez et al. Spain [32] |
|
| ||||||
| MSA | ND | Histological cervicovaginal observation and histopathological report | Yes Type: ND |
Laparotomy, penicillin, and amoxicillin Complete recovery |
2 33 and 35 |
2003, Bergenhenegouwen et al. Holland [33] |
|
| ||||||
| Actinomyces | ND | Aspirate study | Yes Type: ND |
ND | 1 45 |
2005, Lely and Van Es Holland [34] |
|
| ||||||
| MSA | ND | Histopathological report | Yes (4–9 years) Type: copper IUD |
Penicillin, bacampicillin Complete recovery |
5 32, 35, 44, 44, and 52 |
2005, Kayikcioglu et al. Turkey [35] |
|
| ||||||
| Actinomycosis, MSA | Tumour formation or abscess in ovary | Histopathological report of the ovary | Yes = 2 (15 and 6 years) No = 1 Type: ND |
Sulbactam-ampicillin, penicillin and ceftriaxone, laparotomy, drainage of abscesses salpingo-oophorectomy, and hysterectomy Complete recovery |
3 32, 45, and 55 |
2009, Onal et al. Turkey [36] |
|
| ||||||
| MSA | ND | Histopathological report | Yes (8 years) Type: multiload copper IUD |
Extraction of a mass in the internal walls of the abdomen, penicillin Complete recovery |
1 48 |
2010, Carkman et al. Turkey [37] |
|
| ||||||
| Damage in the organs adjacent to the irregular mass, MSA | ND | Histopathological report | Yes (16 years) Type: ND |
Laparotomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, and penicillin Complete recovery |
1 48 |
2000, Yegüez et al. Turkey [38] |
|
| ||||||
| Actinomycosis | Pelvic inflammatory disease, rectal tumour | Histopathological report | Yes (12 years) Type: copper IUD |
Laparotomy, hysterectomy, bilateral salpingo-oophorectomy, appendectomy, lower anterior resection, Hartmann colostomy, penicillin, and amoxicillin Complete recovery |
1 44 |
2012, Yilmaz et al. Turkey [39] |
|
| ||||||
| Actinomycosis | Necropsy | Yes (20 years) Type: ND |
Death due to sepsis | 1 49 |
2007, Grabiec et al. Poland [40] | |
|
| ||||||
| MSA | Acute appendicitis, fistulisation in abdominal wall | Histopathological report | No | Laparotomy, right ileocolic resection with anastomosis of the ileotransverse colon, and amoxicillin No date of resolution |
1 46 |
2008, Pitot et al. Belgium [41] |
|
| ||||||
| Actinomyces spp. | Carcinoma | Purulent material culture, histopathological report | Yes (3 years) Type: ND |
Right hemicolectomy, antibiotic therapy Complete recovery |
1 35 |
2009, Čolović et al. Serbia [42] |
|
| ||||||
| MSA, pseudoactinomycotic radiate granules | Endometrial infection, ovarian abscess, and both | Histopathological report | Yes Type: ND |
5 endometrial biopsies and 1 piece of hysterectomy No date of resolution |
6 ND |
2009, Boyle and McCluggage North Ireland [43] |
|
| ||||||
| Actinomyces | Muscular neoplasia | Postsurgical histopathological report of samples from the abdominal wall abscess | Yes Type: ND |
Laparotomy, adhesiolysis, complete excision of the mass with extensive damage to the anterior abdominal wall, and antibiotic therapy No date of resolution |
1 47 |
2010, Acquaro et al. Italy [44] |
|
| ||||||
| Anogenital actinomycosis, Actinomyces turicensis | Perianal abscesses, pilonidal cyst, and gas gangrene | API 20A biochemical assays and 16S rRNA sequencing technique | ND | ND | 7 18, 18, 28, 23, 28, 33, and 65 |
2010, Chudáčková et al. Czech Republic [45] |
|
| ||||||
| Actinomycosis | Tumoural process in pelvis | Histopathological report | Yes Type: multiload copper IUD |
Cystoscopy, penicillin, and Duomox No date of resolution |
1 42 |
2012, Maxová et al. Czech Republic [46] |
|
| ||||||
| Total cases | 39 | |||||
∗MSA = microorganisms similar to Actinomyces.
∗∗ND = not disclosed.