Smith T F, Weed L A, Pettersen G R, O'Brien P C
Am J Clin Pathol. 1978 Sep;70(3):333-6. doi: 10.1093/ajcp/70.3.333.
Patients with culture-proven infections with Neisseria gonorrhoeae or Chlamydia trachomatis, or both, seen at the Olmsted County Health Department Sexually Transmitted Disease Clinic were evaluated for the presence of dysuria and exudate. Eighty-four patients (21%) had neither symptom. N. gonorrhoeae infection alone was most frequent (47%), but C. trachomatis predominated in men. Dysuria was most often detected in men infected with C. trachomatis, but exudate was most frequently found in men infected with N. gonorrhoeae alone or in mixed infections with C. trachomatis. The presence of both symptoms was more common in men than in women infected with N. gonorrhoeae or C. trachomatis. However, as the occurrence of dysuria and exudate was generally similar within the male and female groups, regardless of the organisms recovered, the type of infection cannot be accurately determined on the basis of symptomatology alone. The authors therefore believe that the diagnosis of genital infection by C. trachomatis or N. gonorrhoeae, or both, by culture technics is essential because effective treatment with antimicrobial therapy often requires this information.
在奥尔姆斯特德县卫生部门性传播疾病诊所就诊的、经培养证实感染淋病奈瑟菌或沙眼衣原体或两者皆感染的患者，接受了排尿困难和分泌物检查。84名患者（21%）既没有排尿困难症状也没有分泌物。单纯淋病奈瑟菌感染最为常见（47%），但沙眼衣原体感染在男性中占主导。排尿困难最常出现在感染沙眼衣原体的男性中，但分泌物最常见于单纯感染淋病奈瑟菌或同时感染沙眼衣原体的男性中。在感染淋病奈瑟菌或沙眼衣原体的男性中，两种症状同时出现的情况比女性更常见。然而，由于无论分离出何种病原体，男性和女性群体中排尿困难和分泌物的出现情况通常相似，因此不能仅根据症状准确判断感染类型。因此，作者认为通过培养技术诊断沙眼衣原体或淋病奈瑟菌或两者的生殖器感染至关重要，因为抗菌治疗的有效实施通常需要这些信息。
