Surgical aspects of the treatment of a patient with actinomycosis of the colon complicated by the formation of a colovesical fistula
- Authors: Sigua B.V.1, Kurkov A.A.1, Lataria E.L.1, Kozlova O.P.1, Gurzhiy D.V.1, Vinnichuk S.A.1, Efimov A.L.1, Chizhov G.V.1, Khvatov A.A.1, Zemlianoi V.P.1
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Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 15, No 4 (2023)
- Pages: 65-72
- Section: Case report
- URL: https://journal-vniispk.ru/vszgmu/article/view/257466
- DOI: https://doi.org/10.17816/mechnikov606683
- ID: 257466
Cite item
Abstract
Actinomycosis is a chronic bacterial infection caused by bacteria from the Actinomycetaceae family. The causes of abdominal actinomycosis are usually destructive appendicitis, prolonged presence of an intrauterine contraceptive or perforation of the colon. Of the internal organs, the left colon and sigmoid colon are most often affected, which often leads to surgical complications. At the same time, diagnosis is significantly difficult due to the nonspecific nature of the clinical presentation, which is similar to that of oncological diseases, and verification of the process is possible only with microscopic examination in a specialized institution.
A clinical case demonstrating the difficulties of diagnosis and treatment of widespread abdominal actinomycosis complicated by the development of a colovesical fistula is presented.
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##article.viewOnOriginalSite##About the authors
Badri V. Sigua
North-Western State Medical University named after I.I. Mechnikov
Email: dr.sigua@gmail.com
ORCID iD: 0000-0002-4556-4913
SPIN-code: 5571-8893
MD, Dr. Sci. (Med.), Professor
Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015Alexey A. Kurkov
North-Western State Medical University named after I.I. Mechnikov
Email: dok.kurkov@gmail.com
ORCID iD: 0000-0002-2128-8651
SPIN-code: 6396-4386
MD, Cand. Sci. (Med.)
Russian Federation, Saint PetersburgElguja L. Lataria
North-Western State Medical University named after I.I. Mechnikov
Email: Elguja.Lataria@szgmu.ru
ORCID iD: 0000-0002-9569-8485
SPIN-code: 7376-9672
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015Olga P. Kozlova
North-Western State Medical University named after I.I. Mechnikov
Email: olgakozlova07@gmail.com
ORCID iD: 0000-0002-2467-4945
SPIN-code: 6312-0770
MD, Cand. Sci. (Med.), Assistant
Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015Dmitrii V. Gurzhiy
North-Western State Medical University named after I.I. Mechnikov
Email: gurzhiydv@ro.ru
ORCID iD: 0000-0002-4005-0403
SPIN-code: 7344-3941
Scopus Author ID: 365404
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, Saint PetersburgSergey A. Vinnichuk
North-Western State Medical University named after I.I. Mechnikov
Email: Sergei.Vinnichuk@szgmu.ru
ORCID iD: 0000-0002-9590-6678
SPIN-code: 6448-9110
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015Alexey L. Efimov
North-Western State Medical University named after I.I. Mechnikov
Email: aespb@mail.ru
ORCID iD: 0000-0001-7586-6405
SPIN-code: 7854-1596
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015Gleb V. Chizhov
North-Western State Medical University named after I.I. Mechnikov
Email: gleb.chizhov.98@mail.ru
MD
Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015Andrey A. Khvatov
North-Western State Medical University named after I.I. Mechnikov
Email: andrey_hvatov@mail.ru
ORCID iD: 0009-0005-8859-5030
MD
Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015Viacheslav P. Zemlianoi
North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: zeml.spb@mail.ru
ORCID iD: 0000-0003-2329-0023
MD, Dr. Sci. (Med.), Professor, Honored Doctor of the Russian Federation
Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015References
- Toidze VV, Akimov VP, Churgulia MZ, et al. Difficulties in the diagnosis of abdominal actinomycosis. The Hospital. 2019;(2(28)):18–21. (In Russ.)
- Kozlova OP, Shevyakov MA, Klimko NN. Abdominal’nyi aktinomikoz. Klinika, diagnostika, lechenie. Uspekhi meditsinskoi mikologii. 2017;17:256–257. (In Russ.)
- Mirzabalaeva AK, Kozlova OP, Chernopyatova AK, et al. Case of successful treatment of widespread abdominal actinomycosis. Journal Infectology. 2009;1(2–3):81–86. (In Russ.) doi: 10.22625/2072-6732-2009-1-2,3-81-86
- Petrie BA, Schwartz SI, Saltmarsh GF. Intra-abdominal actinomycosis in association with sigmoid diverticulitis. Am Surg. 2014;80(6):157–159. doi: 10.1177/000313481408000603
- Das K, Karateke F, Ozyazıcı S. Unusual presentations of actinomycosis; anterior abdominal wall and appendix: report of three cases. Balkan Med J. 2013;30(3):315–317. doi: 10.5152/balkanmedj.2012.377
- Chzhao AV, Andrejceva OI, Zhavoronkova OI, et al. Abdominal actinomycosis (clinical case). Vysokotekhnologicheskaya medicina. 2018;5(3):11–22. (In Russ.)
- Tortorano AM, Richardson M, Roilides E, et al. ESCMID and ECMM joint guidelines on diagnosis and management of hyalohyphomycosis: Fusarium spp., Scedosporium spp. and others. Clin Microbiol Infect. 2014;20 Suppl 3:27–46. doi: 10.1111/1469-0691.12465
- Melchior S, Cudovic D, Jones J, et al. Diagnosis and surgical management of colovesical fistulas due to sigmoid diverticulitis. J Urol. 2009;182(3):978–982. doi: 10.1016/j.juro.2009.05.022
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