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Generalized actinomycosis of the pelvic organs. Clinical case


Here, a clinical case of generalized actinomycosis of the pelvic organs occuring very rarely usually observed in immunocompromised patients is presented. Patient T. referred to the women's clinic with complaints of prolonged genital discharge, itching, burning, and occasional sub-fever. The patient had a history of prolonged hormonal immunosuppressive therapy. After a thorough examination, the patient was consulted by two oncologists. Preliminary diagnosis: suspicio cancer coli; suspicio cancer vaginae. In order to clarify the diagnosis, an in-hospital multifocal scalpel biopsy was performed. The biological material obtained was sent out for intravital pathological and anatomical examination; no signs of malignancy were found. To prevent complications during surgery, the patient underwent separate diagnostic scraping of the uterine cavity and cervical canal after repeated sanitation of the vagina and additional patient examination; hysteroscopy; vulval biopsy; colpocentesis. The final diagnosis was made after obtaining the results of in-surgery microbial culture on nutrient media. Active growth of actinomycetes was detected in the material obtained. The final clinical diagnosis was pelvic actinomycosis, generalized form. Patient T was discharged in satisfactory condition after antibacterial treatment according to the diagnosis for further under gynecologist observation at the women's clinic.

About the Authors

A. V. Kazakova
Samara State Medical University, Health Ministry of Russian Federation
Russian Federation

Anna V. Kazakova – МD, Dr Sci Med, Professor, Head of the Department of Obstetrics and Gynecology № 2 

89 Chapaevskaya Str., Samara 443099

O. I. Lineva
Samara State Medical University, Health Ministry of Russian Federation
Russian Federation

Olga I. Lineva – МD, Dr Sci Med, Professor, Honored Doctor of Russian Federation, Honorary Professor of the Department of Obstetrics and Gynecology № 2 

89 Chapaevskaya Str., Samara 443099

A. A. Trupakova
Samara State Medical University, Health Ministry of Russian Federation
Russian Federation

Anna A. Trupakova – МD, PhD Аpplicant, Department of Obstetrics and Gynecology № 2 

89 Chapaevskaya Str., Samara 443099

I. S. Kiyashko
Samara State Medical University, Health Ministry of Russian Federation; Pirogov Samara City Clinical Hospital № 1
Russian Federation

Irina S. Kiyashko – МD, PhD, Associate Professor, Department of Obstetrics and Gynecology № 2; Obstetrician-Gynecologist 

89 Chapaevskaya Str., Samara 443099;
80A Polevaya Str., Samara 443096

L. V. Kuznetsova
Pirogov Samara City Clinical Hospital № 1
Russian Federation

Liliya V. Kuznetsova – МD, PhD, Head of the Gynecological Department for Patients with Surgical and Purulent Pathologies № 19 

80A Polevaya Str., Samara 443096

V. A. Petyanova
Pirogov Samara City Clinical Hospital № 1
Russian Federation

Victoria A. Petyanova – МD, Obstetrician-Gynecologist, Deputy Chief Physician in Obstetrics and Gynecology 

80A Polevaya Str., Samara 443096


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For citations:

Kazakova A.V., Lineva O.I., Trupakova A.A., Kiyashko I.S., Kuznetsova L.V., Petyanova V.A. Generalized actinomycosis of the pelvic organs. Clinical case. Obstetrics, Gynecology and Reproduction. 2022;16(3):317-323. (In Russ.)

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ISSN 2313-7347 (Print)
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