男性尿道旁腺炎的病原体特征。
Pathogen profile in men with inflammation of paraurethral glands.
机构信息
Department of Dermatology, First People's Hospital of Changshu City, Changshu Hospital, Affiliated to Soochow University, , Changshu, Jiangsu Province, P R China.
出版信息
Sex Transm Infect. 2014 Feb;90(1):52-4. doi: 10.1136/sextrans-2013-051180. Epub 2013 Aug 12.
OBJECTIVE
To investigate the pathogen profile in men with inflammation of the paraurethral glands.
METHODS
We enrolled 40 patients with first-onset, drug-naive inflammation of the paraurethral glands. Discharge from the lesions was collected for Gram staining. Microscopy was performed for screening for trichomonads and detecting Gram-negative intracellular diplococci within phagocytes. Cultures for detection of Neisseria gonorrhoeae, Ureaplasma urealyticum and other bacteria, and Chlamydia-trachomatis-associated antigens were performed. PCR was conducted for herpes simplex virus type 1 or 2.
RESULTS
From these 40 patients, there were nine microbial species, which included Gram-negative bacteria (23 cases, 54.8%), Gram-positive bacteria (15 cases, 35.7%) and other pathogens (4 cases, 9.5%). The top three pathogens were gonococci (38.1%), Staphylococcus aureus (16.7%) and Escherichia coli (14.3%).
CONCLUSIONS
Inflammation of paraurethral glands in men may be caused by a variety of pathogens and not just by gonococcal infection.
目的
探讨男性尿道旁腺炎的病原体谱。
方法
我们招募了 40 例初发、未经药物治疗的尿道旁腺炎患者。采集病变部位的分泌物进行革兰氏染色。显微镜检查用于筛查滴虫和检测吞噬细胞内的革兰氏阴性双球菌。进行淋病奈瑟菌、解脲支原体和其他细菌以及沙眼衣原体相关抗原的培养。进行单纯疱疹病毒 1 型或 2 型的 PCR。
结果
从这 40 例患者中，共分离出 9 种微生物，包括革兰氏阴性菌（23 例，54.8%）、革兰氏阳性菌（15 例，35.7%）和其他病原体（4 例，9.5%）。前三种病原体是淋球菌（38.1%）、金黄色葡萄球菌（16.7%）和大肠杆菌（14.3%）。
结论
男性尿道旁腺炎可能由多种病原体引起，而不仅仅是淋球菌感染。
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