Skip to main content

Table 1 Clinical, diagnosis, epidemiological and therapeutic features of patients with hepatic actinomycosis from individual cases

From: A systematic review of case reports of hepatic actinomycosis

Country, year of publication and references

Sex/age

Species

Treatment

Surgery or puncture drainage

Diagnosis

Bahrain, 2020 [17]

49/f

NR

Ampicillin discontinued due to sepsis, Doxycycline for 6 month

Thoracentesis and insertion of a chest drain

HE

Canada, 2001 [18]

50/m

NR

Penicillin

NR

HE

Canada, 2005 [19]

40/F

NR

Penicillin G

Abdominal hysterectomy and bilateral oophorectomy

HE and culture

China, 2004 [20]

64/m

NR

Amoxicillin/clavulanic acid for 6 months

Left lateral segmentectomy and distal gastrectomy were performed

HE

China, 2011 [21]

47/F

A. israelii

Ampicillin for 4 weeks, followed by oral Amoxicillin for 2 months

Lobectomy of the left liver lobe, A right oophorectomy

HE

China, 2013 [22]

67/M

NR

Penicillin G and oral penicillin for six month

Left lateral hepatectomy and distal gastrectomy

HE

China, 2014 [12]

55/M

NR

Penicillin

Left lobe resection

HE

China, 2016 [23]

38/M

NR

Cefoperazone for 7 days after the surgery

Left lobectomy of the liver

HE

France, 2013 [24]

34/M

NR

Ampicillin, Penicillin G

Appendectomy

HE

Germany, 2009 [25]

71/f

NR

Amoxicillin, imipenem/cilastatin for Klebsiella pneumonia

NR

HE

Germany,2001 [26]

57/m

NR

Penicillin G then Clindamycin for six month

NR

HE

Greece, 2004 [27]

53/M

NR

Ciprofloxacin for 6 weeks

A right posterior segmentectomy of the liver was performed

HE

Greece, 2010 [28]

70/M

NR

Amoxicillin-sulbactam, amoxicillin

NR

HE

India, 2005 [29]

35/m

NR

Penicillin G, ampicillin for 5 months

Ultrasound-guided percutaneous aspiration of the liver abscess

Culture

Italy, 2005 [30]

31/M

NR

Piperacillin

Surgical resection of the IV_/VII hepatic segments

HE with a positive culture

Japan, 2011 [31]

74/F

A. israelii

Ampicillin, Amoxicillin for 6 month

Aspiration drainage and placed an indwelling catheter immediately

PCR and culture

Japan, 2012 [9]

60/M

NR

Sulbactam/ampicillin for 36 days, sultamicillin for six month

Video-assisted thoracic surgery

HE

Japan, 2014 [32]

80/M

NR

Ampicillin/sulbactam, erythromycin, Ampicillin/sulbactam for two years

A drainage tube was inserted into the right thoracic space

HE

Japan, 2016 [33]

51/F

NR

Levofloxacin and warfarin treatment

Right salpingo-oophorectomy

HE, negative culture

Kore, 2006 [34]

47/F

NR

Penicillin G, Amoxicillin for 5 months

Left salpingo-oophorectomy, abdominal hysterectomy, right salpingo-oophorectomy

HE

Korea, 2012 [35]

72/M

NR

Penicillin for two month

Percutaneous drainage for 2 weeks

HE

Korea, 2012 [36]

41/f

NR

Ampicillin, amoxicillin treatment for four months

A right salpingo-oophorectomy with left ovarian excision and IUD removal was carried out

HE

Korea, 2012 [37]

67/m

A. cardiffensis

Ceftriaxone, Amoxicillin for 6 months

NR

Culture, PCR

Korea, 2013 [8]

57/M

NR

Penicillin G, ceftriaxone, Amoxicillin for 11 weeks

Exploratory laparotomy

HE

Korea, 2018 [38]

55/F

NR

Penicillin for 6 months

Bilateral salpingo-oophorectomy, small bowel resection and appendectomy

HE

Korea, 2018 [39]

67/M

NR

NR

Lobectomy of the liver

HE

Portugal, 2014 [4]

38/M

NR

Doxycycline for three months

Left hepatectomy extended to segments V and VIII

HE

Romania, 2012 [40]

72/f

NR

Ampicillin for two months, then Doxycycline for 139 days

Surgical drainage

HE

Romania, 2013 [41]

54/m

NR

Broad-spectrum antibiotics and antimycotics

Laparoscopy and biopsy

HE

Serbia, 2009 [42]

50/F

NR

Benzylpenicillin for 6 weeks and oral Amoxycillin for 6 months

Affected liver segments were resected

HE

Serbia, 2018 [43]

50/F

NR

Amoxicillin during three months

Liver abscess resected, hysterectomy, extraction of the IUCD

HE

Spain, 2011 [44]

20/m

A. israelii

Amoxicillin–clavulanate for two month

CT-guided pericardial drainage and A left-sided thoracocentesis, Pericardial and hepatic drainages

Culture and PCR

Spain, 2017 [45]

66/m

A. naeslundii

Ertapenem for 4 weeks

Percutaneous drainage of the abscess

Culture

Taiwan, 2001 [46]

6/m

NR

Penicillin then Clindamycin for 4 month

The right kidney and liver were adequately debrided

HE

Taiwan, 2005 [47]

71/m

NR

Penicillin G and V for 3 month

NR

HE

Taiwan, 2005 [47]

73/f

NR

Penicillin V for 3 month

Segmentectomy

HE

Taiwan, 2010 [48]

78/m

A. odontolyticus

Ceftriaxone, ampicillin–sulbactam and Amoxicillin for 6 weeks

CT-guided pigtail catheter insertion for drainage of the abscess

Culture, PCR

Taiwan, 2013 [49]

49/f

A. israelii

Benzyl penicillin and imipenem/cilastatin

An exploratory laparotomy and right lobectomy of the liver

HE

Taiwan,2009 [1]

37/m

NR

Penicillin for 3 months

Resected spleen and liver nodules

HE

Turkey 2010 [50]

40/M

NR

Penicillin G for 2 month

Surgical debridement and drainage was performed

HE

Turkey, 2002 [51]

41/F

NR

Penicillin G

The mass was excised

HE

Turkey, 2003 [52]

11/F

NR

Penicillin G for 1 month then Amoxicillin

NR

Culture

Turkey, 2006 [53]

40/F

NR

Penicillin G, a 6-month amoxicillin

Thoracentesis and thorax tube was inserted upon the diagnosis of empyema

HE with negative culture

Turkey, 2007 [54]

5/F

NR

Penicillin G for the next 6 months

NR

HE

Turkey, 2007 [55]

46/m

NR

Penicillin G 3 month

NR

HE

UK, 2009 [2]

52/M

NR

Teicoplanin, meropenem and metronidazole then six month amoxicillin

The hepatic abscess was aspirated and a drain, anterior colonic resection with primary anastamosis

Culture

UK, 2011 [56]

50/M

NR

Died before treatment

NR

Autopsy (The patient died)

UK, 2012 [57]

38/f

A. israelii

co-amoxiclav for 7 month

Ultrasound-guided drainage of the liver abscess was required 5 months later due, in part, to poor compliance with antibiotic treatment

HE, culture

USA, 2000 [58]

40/f

A. israelii

Penicillin

NR

Gram and immunofluorescent staining

USA, 2001 [59]

16/m

NR

Penicillin 6 months oral doxycycline

Laparotomy and open biopsy

HE and culture

USA, 2002 [60]

59/M

A. turicensis

Piperacillin-tazobactam, Doxycycline orally for 4 months

The abscess was aspirated and a drain was placed

Culture and PCR

USA, 2002 [61]

34/m

NR

Ciprofloxacin was continued for 6 weeks and Clindamycin for 3 months

The abscess was incised and drained

Gram staining

USA, 2005 [62]

84/f

NR

Penicillin

NR

Gram staining

USA, 2006 [5]

46/m

A. israelii

Penicillin

Percutaneous aspiration of the two largest liver collections

Culture

USA, 2006 [5]

59/m

A. israelii

Penicillin

Drainage

Culture

USA, 2010 [10]

75/F

NR

Clindamycin for 6 months

Laparotomy with biopsy of the liver

HE

USA, 2011 [63]

65/m

NR

Doxycycline for 6 month

Resection of segment 5 and 6 of the liver without any complications

Culture

USA, 2013 [64]

48/m

A. naeslundii

Amoxicillin-clavulanate for six month

Drainage catheter

Culture

USA, 2016 [65]

43/M

NR

Penicillin G for one month then Amoxicillin for one year

Right hemi hepatectomy

HE

USA, 2016 [66]

73/m

NR

Penicillin G

Incision and drainage of an abscess

HE

USA, 2017 [67]

70/m

NR

Penicillin

NR

HE

USA, 2017 [68]

80/m

NR

Penicillin G for 4 weeks then transitioned to oral penicillin for about 9 months

Aspiration of the fluid collection

HE and culture

USA, 2019 [69]

35/F

NR

Ampicillin /sulbactam for 6 weeks

NR

HE

USA, 2020 [70]

59/M

A. naeslundii or A. viscosus

Amoxicillin for 6 month

Extraction of a hepatic segment II

PCR

  1. M Male, F Female, HE histopathological examination, NR not reported, PCR polymerase chain reaction