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一名90岁出头患有前列腺增生症男性的持续性滴虫病:病例报告

Persistent trichomoniasis in a man in his early 90s with a history of prostatic hyperplasia: A case report.

作者信息

Fakhar Mahdi, Shayesteh Azar Shadi, Kordi Shirafkan, Borhani Seyedeh Samaneh, Nooreddini Ahmad, Nozari Arshia, Nahanghi Hassan, Soleymani Eissa

机构信息

Iranian National Registry Centre for Lophomoniasis and Toxoplasmosis, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Iran.

Department of Infectious Diseases, Faculty of Medicine, Antimicrobial Resistance Research Center, Mazandaran University of Medical Sciences, Iran.

出版信息

J Int Med Res. 2025 May;53(5):3000605251344201. doi: 10.1177/03000605251344201. Epub 2025 May 29.

Abstract

The protozoan is a parasite associated with numerous sexually transmitted infections worldwide. In males, although infection (also known as trichomoniasis) often remains asymptomatic, it can lead to conditions such as prostatitis or urethritis. Herein, we report the case of a man in his early 90s who was admitted to a hospital in northern Iran with mild dysuria, whose precise onset remained unclear. He had a history of chronic prostate discomfort for several years and acknowledged having multiple sexual partners over the past two decades. He complained of dysuria; therefore, urinalysis was performed, which detected trichomoniasis. He received treatment with metronidazole, resulting in the resolution of urinary symptoms and elimination of the parasite. This case highlights the importance of considering the possibility of trichomoniasis in men, especially older men, as they may face an increased risk of inflammation and prostate cancer.

摘要

这种原生动物是一种寄生虫,与全球众多性传播感染有关。在男性中,虽然感染(也称为滴虫病)通常没有症状,但它可导致前列腺炎或尿道炎等病症。在此,我们报告一例90岁出头的男性病例,他因轻度排尿困难入住伊朗北部一家医院,确切发病时间不明。他有慢性前列腺不适病史数年,并承认在过去二十年中有多个性伴侣。他主诉排尿困难;因此进行了尿液分析,检测出滴虫病。他接受了甲硝唑治疗,排尿症状得以缓解,寄生虫被清除。该病例强调了考虑男性尤其是老年男性患滴虫病可能性的重要性,因为他们可能面临炎症和前列腺癌风险增加的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e79/12123157/aeef943f57af/10.1177_03000605251344201-fig1.jpg

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