Pelvic Actinomycosis

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:	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]
	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

= microorganisms similar to Actinomyces.
= not disclosed.