[节段性衣原体性直肠炎]

[Segmental chlamydia proctitis].

作者信息

Cremer H, Joneleit V, Zippel C

出版信息

Leber Magen Darm. 1985 May;15(3):117-20.

Abstract

A case report is given of a 28 year old homosexual suffering from segmental proctitis caused by Chlamydia. The patient had watery diarrhea and fever since 3 weeks. Stool specimen testing was negative in regard to Salmonella, Shigella and worm eggs. Infection with N. gonorrhoea, Herpes simplex virus, Toxoplasma gondi, Yersinia and M. tuberculosis could be excluded. Serological testing yielded results suggestive of an old lues infection successfully treated. On histological examination typical reticulocytary suppurating granuloma were found. Therapy of choice of Chlamydia-proctitis is tetracyclines.

摘要

报告了一例28岁患衣原体引起的节段性直肠炎的同性恋患者。患者3周以来一直腹泻、发热。粪便样本检测沙门氏菌、志贺氏菌及虫卵均为阴性。可排除淋病奈瑟菌、单纯疱疹病毒、弓形虫、耶尔森菌及结核分枝杆菌感染。血清学检测结果提示曾患梅毒感染且已成功治愈。组织学检查发现典型的网状细胞化脓性肉芽肿。衣原体性直肠炎的首选治疗药物为四环素。