Tønsberg E, Hartgill U
Olafia Clinic, Department of Rheumatology, Dermatology and Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Olafia Clinic, Department of Rheumatology, Dermatology and Infectious Diseases, Oslo University Hospital, Oslo, Norway
Int J STD AIDS. 2014 Dec;25(14):1047-9. doi: 10.1177/0956462414531561. Epub 2014 Apr 15.
Adenovirus is a recognised cause of non-gonococcal urethritis, and is not uncommonly associated with extragenital signs and symptoms. This case report describes a patient with symptoms of conjunctivitis, meatitis and urethritis. The urethral smear revealed almost exclusively monocytes microscopically, raising the suspicion of a viral aetiology. Results confirmed the presence of adenovirus in both the eyes and urethra. Despite waning reliance on the urethral smear in sexual health clinics, it can still be an important diagnostic tool in assessing the aetiology of non-specific urethritis. Finding an obvious monocytic cell response in the urethral smear can indicate a viral cause and allow the clinician to optimise management, counsel appropriately, and potentially reduce unnecessary antibiotic use.
腺病毒是公认的非淋菌性尿道炎的病因，且常与生殖器外体征和症状相关。本病例报告描述了一名患有结膜炎、尿道口炎和尿道炎症状的患者。尿道涂片镜检几乎仅见单核细胞，这引发了对病毒病因的怀疑。结果证实眼部和尿道均存在腺病毒。尽管性健康诊所对尿道涂片的依赖度在下降，但它仍是评估非特异性尿道炎病因的重要诊断工具。在尿道涂片中发现明显的单核细胞反应可提示病毒病因，使临床医生能够优化管理、进行适当的咨询并可能减少不必要的抗生素使用。
