46例生殖器溃疡病例的临床及微生物学评估
Clinical and microbiological evaluation of 46 episodes of genital ulceration.
作者信息
Sturm A W, Stolting G J, Cormane R H, Zanen H C
出版信息
Genitourin Med. 1987 Apr;63(2):98-101. doi: 10.1136/sti.63.2.98.
Abstract
In 44 consecutive patients 46 episodes of genital ulceration were studied. The presumptive clinical diagnosis was evaluated by extensive microbiological investigations. In 15 (33%) episodes the clinical diagnosis did not accord with the microbiological one. Chancroidal lesions were most commonly found to have other microbiological aetiology. Secondary invasion of treponemal or viral lesions by other bacterial species (mostly anaerobes or pyogenic cocci) or genital pyodermia were the cause of confusion in six of nine cases of chancroid. In the other three a ducreyilike bacterium was found. Direct Gram staining of ulcer material did not help the diagnosis of chancroid. The implications of the results of this study for clinical practice are discussed.
摘要
对44例连续患者的46次生殖器溃疡发作进行了研究。通过广泛的微生物学调查评估临床初步诊断。在15次发作（33%）中，临床诊断与微生物学诊断不一致。软下疳病变最常被发现有其他微生物病因。在9例软下疳病例中，有6例是梅毒或病毒病变被其他细菌种类（主要是厌氧菌或化脓性球菌）继发感染或生殖器脓皮病导致诊断混淆。在另外3例中发现了类似杜克雷氏菌的细菌。溃疡材料的直接革兰氏染色对软下疳的诊断没有帮助。讨论了本研究结果对临床实践的意义。
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