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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">thealth</journal-id><journal-title-group><journal-title xml:lang="ru">Здравоохранение Таджикистана</journal-title><trans-title-group xml:lang="en"><trans-title>Health care of Tajikistan</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0514-2415</issn><publisher><publisher-name>Редакция журнала «Здравоохранение Таджикистана»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52888/0514-2515-2026-370-3-137-143</article-id><article-id custom-type="elpub" pub-id-type="custom">thealth-776</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group></article-categories><title-group><article-title>Тяжелая форма кожной сибирской язвы в области шеи: клинический случай</article-title><trans-title-group xml:lang="en"><trans-title>Severe form of cutaneous anthrax in the neck area: clinical case</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0579-6223</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рахманов</surname><given-names>Э. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Rakhmanov</surname><given-names>E. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рахманов Эркин Рахимович - доктор медицинских наук, профессор кафедры инфекционных болезней</p><p>Душанбе</p></bio><bio xml:lang="en"><p>Rahmonov Erkin Rahimovich – Doctor of Medical Sciences, Professor of the Department of Infectious Diseases</p><p>Dushanbe</p></bio><email xlink:type="simple">erkin_rahmonov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-2537-9923</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вохидова</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Vokhidova</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вохидова Ануш Пайравовна - ассистент кафедры инфекционных болезней</p><p>Душанбе</p><p>тел.: +992999339108</p></bio><bio xml:lang="en"><p>Vohidova Anush Pairavovna – Assistant of the Department of Infectious Diseases</p><p>Dushanbe</p></bio><email xlink:type="simple">anushvokhidova@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8416-1167</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цой</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsoy</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Цой Виктория Николаевна - кандидат медицинских наук, доцент кафедры инфекционных болезней</p><p>Душанбе</p></bio><bio xml:lang="en"><p>Tsoy Viktoriya Nikolaevna – Candidate of Medical Sciences, Associate Professor of the Department of Infectious Diseases</p><p>Dushanbe</p></bio><email xlink:type="simple">vikatsoy387@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3280-6469</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гадойбоев</surname><given-names>М. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Gadoyboev</surname><given-names>M. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гадойбоев Мурод Рустамович - ассистент кафедры инфекционных болезней</p><p>Душанбе</p></bio><bio xml:lang="en"><p>Gadoyboev Murod Rustamovich - Assistant of the Department of Infectious Diseases</p><p>Dushanbe</p></bio><email xlink:type="simple">mruran238@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-4319-1969</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иронов</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ironov</surname><given-names>I. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Иронов Озар Сафаралиевич - врач-инфекционист, заведующий отделением №1</p><p>Душанбе</p></bio><bio xml:lang="en"><p>Ironov Ozar Safaralievich - Infectious Disease Physician, Head of Department No. 1</p><p>Dushanbe</p></bio><email xlink:type="simple">ironovozar05@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Кафедра инфекционных болезней, ГОУ «Таджикский государственный медицинский университет имени Абуали ибни Сино»</institution><country>Таджикистан</country></aff><aff xml:lang="en"><institution>SEI Avicenna Tajik State Medical University, Department of Infectious Diseases</institution><country>Tajikistan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГУ «Городская клиническая инфекционная больница г. Душанбе»</institution><country>Таджикистан</country></aff><aff xml:lang="en"><institution>SI Dushanbe City Clinical Infectious Diseases Hospital</institution><country>Tajikistan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>08</day><month>10</month><year>2026</year></pub-date><volume>0</volume><issue>3</issue><fpage>137</fpage><lpage>143</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Рахманов Э.Р., Вохидова А.П., Цой В.Н., Гадойбоев М.Р., Иронов О.С., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Рахманов Э.Р., Вохидова А.П., Цой В.Н., Гадойбоев М.Р., Иронов О.С.</copyright-holder><copyright-holder xml:lang="en">Rakhmanov E.R., Vokhidova A.P., Tsoy V.N., Gadoyboev M.R., Ironov I.O.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.zdrav.tj/jour/article/view/776">https://www.zdrav.tj/jour/article/view/776</self-uri><abstract><p>В статье описан клинический случай успешного лечения тяжелой формы кожной сибирской язвы в области шеи у мужчины 35 лет, жителя г. Фархор. При обращении у больного отмечались обширный, быстро прогрессирующий отек, начинавшийся на шее и распространившийся до уровня грудной клетки, выраженная одышка, чувство стеснения и тяжести за грудиной, лихорадка. Локально в области боковой и передней поверхности шеи справа визуализировалась язва с тёмным дном, и окруженная вторичными везикулами. На основании клинической картины, эпидемиологического анамнеза и лабораторных методов исследования был поставлен диагноз «Сибирская язва, кожная форма. Сибиреязвенный карбункул в области шеи справа. Тяжелое течение. Осложнения: Инфекционно-токсический шок I степени. ДВС-синдром». Больному был проведен комплекс лечебных мероприятий. В течении 3 недель клиника кожной формы сибирской язвы претерпевала все стадии формирования от язвы до отторжения струпа. Случай подчёркивает значение своевременной диагностики и адекватной терапии тяжелых кожных форм сибирской язвы.</p></abstract><trans-abstract xml:lang="en"><p>This article describes a clinical case of successful treatment of a severe form of cutaneous anthrax in the neck area of a 35-year-old man, a resident of Farkhor. On admission, the patient presented with extensive, rapidly progressing edema that began in the neck and extended to the level of the chest, severe dyspnea, a sensation of retrosternal constriction and heaviness, and fever. On local examination, an ulcer with a dark base, surrounded by secondary vesicles, was found on the right lateral and anterior surface of the neck. Based on the clinical presentation, epidemiological history, and laboratory tests, the following diagnosis was established: anthrax, cutaneous form; anthrax carbuncle of the neck, right side; severe course; complications: infectious-toxic shock, grade I; DIC syndrome. The patient received a comprehensive course of treatment. Over the course of 3 weeks, the clinical manifestations of the cutaneous form of anthrax progressed through all the typical stages of development, from ulcer to eschar separation. This case highlights the importance of timely diagnosis and adequate therapy for severe cutaneous forms of anthrax.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сибирская язва</kwd><kwd>карбункул</kwd><kwd>кожная форма</kwd><kwd>черный струп</kwd><kwd>инфекционно-токсический шок</kwd><kwd>ДВС-синдром</kwd></kwd-group><kwd-group xml:lang="en"><kwd>anthrax</kwd><kwd>carbuncle</kwd><kwd>cutaneous form</kwd><kwd>black eschar</kwd><kwd>infectious-toxic shock</kwd><kwd>DIC syndrome</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Рязанова А.Г., Герасименко Д.К., Головинская Т.М., Скударева О.Н., Логвин Ф.В., Семенова О.В. 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