Lang Raynell, Minion Jessica, Wong Alexander
University of Calgary, Internal Medicine Residency Program, Calgary, AB, Canada.
Regina Qu'Appelle Health Region, Department of Laboratory Medicine, University of Saskatchewan, College of Medicine, Regina, SK, Canada.
Can Urol Assoc J. 2017 Jan-Feb;11(1-2):E41-E43. doi: 10.5489/cuaj.3836. Epub 2017 Jan 12.
Hematospermia is a common complaint among patients seen in outpatient urology clinics. The differential diagnosis is broad and includes inflammatory, infectious, neoplastic, structural, systemic, and traumatic causes. The most common infectious causes are uropathogens and sexually transmitted infections. However, with increasing global travel, physicians must maintain a high clinical suspicion for pathogens not endemic to their region, including , and .1 We present a case of hematospermia in a traveler returning from Eastern Africa with exposure to Lake Malawi. The patient's microscopic analysis of semen was positive for , revealing a rare presentation of infection.
血精症是泌尿外科门诊患者的常见主诉。鉴别诊断范围广泛,包括炎症性、感染性、肿瘤性、结构性、全身性和创伤性病因。最常见的感染原因是尿路病原体和性传播感染。然而,随着全球旅行的增加,医生必须对非本地流行的病原体保持高度临床怀疑,包括[此处应补充具体病原体名称]、[此处应补充具体病原体名称]和[此处应补充具体病原体名称]。我们报告一例来自东非并接触过马拉维湖的旅行者出现血精症的病例。患者精液的显微镜分析显示[此处应补充具体病原体名称]呈阳性,提示[此处应补充具体病原体名称]感染的罕见表现。