男性中与阴道加德纳菌感染相关的龟头炎
Balanoposthitis associated with Gardnerella vaginalis infection in men.
作者信息
Kinghorn G R, Jones B M, Chowdhury F H, Geary I
出版信息
Br J Vener Dis. 1982 Apr;58(2):127-9. doi: 10.1136/sti.58.2.127.
Fourteen of 194 (7.2%) consecutive unselected men had positive culture results from genital swabs for Gardnerella vaginalis. A higher yield of isolates was obtained from preputial (93%) than from urethral swabs (64%). Of the 14 men, two had no detectable genital abnormality, eight non-gonococcal urethritis, and nine balanoposthitis. The urethral isolation rates for G vaginalis in men with and without non-gonococcal urethritis were not significantly different, but preputial isolation rates were significantly higher (p less than 0.001) in men with balanoposthitis than in those without. The prevalence rate for G vaginalis in men with non-candidal balanoposthitis was 31%. In a second study, concomitant Bacteroides species were isolated in preputial swabs from nine of 12 (75%) men with G vaginalis-associated balanoposthitis and may play a role in its pathogenesis.
在194名连续入选的未经过筛选的男性中，有14人（7.2%）的生殖器拭子培养结果显示阴道加德纳菌呈阳性。从包皮拭子（93%）中分离出该菌的阳性率高于尿道拭子（64%）。在这14名男性中，2人未检测出生殖器异常，8人患有非淋菌性尿道炎，9人患有龟头炎。有无非淋菌性尿道炎的男性中，阴道加德纳菌的尿道分离率无显著差异，但患有龟头炎的男性包皮分离率显著高于未患龟头炎的男性（p<0.001）。患有非念珠菌性龟头炎的男性中，阴道加德纳菌的患病率为31%。在第二项研究中，12名患有阴道加德纳菌相关性龟头炎的男性中有9人（75%）的包皮拭子中分离出了拟杆菌属，其可能在发病机制中起作用。
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