人型支原体和解脲脲原体感染与男性尿道炎及其并发症

Mycoplasma hominis and Ureaplasma urealyticum infections in male urethritis and its complications.

作者信息

Zdrodowska-Stefanow B, Kłosowska W M, Ostaszewska-Puchalska I, Bułhak-Kozioł V, Kotowicz B

机构信息

Department of Dermatology and Venerology, Medical University of Białystok, Poland.

出版信息

Adv Med Sci. 2006;51:254-7.

PMID:17357320

Abstract

PURPOSE

The aim of this study was to estimate the incidence of M. hominis and U. urealyticum infections among men with urethritis and its complications.

MATERIAL AND METHODS

Material for analysis were urethral swabs and EPS. Mycoplasma IST 2 kit was applied to diagnose mycoplasmal infections. All patients were additionaly tested for C. trachomatis, C. albicans and T. vaginalis and Gram stain specimens were obtained to identify the presence of PMN.

RESULTS

U. urealyticum was detected in 57/390 (14.6%), and M. hominis in 4/390 (1%) men. Exclusive U. urealyticum infection was found in 45 (11.5%) men, and only 2 patients had exclusive M. hominis infection. U. urealyticum infection the most frequently coexisted with C. trachomatis--5 (8.8%), next with C. albicans--4 (7%) and M. hominis--2 (3.5%) infections. Mycoplasmal infections were the most frequently found in patients aged 30 to 39 (35.1%) diagnosed with epididymitis (29.2%). The most commonly reported symptom was dysuria.

CONCLUSIONS

U. urealyticum is the common pathogen among men with urethritis and its complications. The most common symptoms in U urealyticum patients were: dysuria, hypogastric pains and urethrorrhoea, however, clinical symptoms are not frequently observed.

摘要

目的

本研究旨在评估尿道炎男性患者中人型支原体和解脲脲原体感染的发生率及其并发症。

材料与方法

分析材料为尿道拭子和前列腺液。应用支原体IST 2试剂盒诊断支原体感染。所有患者还额外检测沙眼衣原体、白色念珠菌和阴道毛滴虫，并获取革兰氏染色标本以确定中性粒细胞的存在。

结果

在390名男性中，检测到解脲脲原体的有57例（14.6%），人型支原体的有4例（1%）。仅发现45例（11.5%）男性为单纯解脲脲原体感染，仅2例患者为单纯人型支原体感染。解脲脲原体感染最常与沙眼衣原体共存——5例（8.8%），其次与白色念珠菌——4例（7%）和人型支原体——2例（3.5%）感染共存。支原体感染在30至39岁诊断为附睾炎的患者中最常见（35.1%），在诊断为附睾炎的患者中占29.2%。最常报告的症状是排尿困难。