Sorbie J, O'Shaughnessy M V
Can Med Assoc J. 1982 Nov 15;127(10):974-6.
Chlamydia trachomatis was isolated from 30 to 100 women attending a family physician's office with dysuria, frequency or vaginal discharge, compared with 2 of 30 asymptomatic women. Multiple infections were common: C. trachomatis coexisted with Gardnerella vaginalis, Candida albicans, Trichomonas vaginalis or a bacterial cause of urinary tract infection in 15 patients. C. trachomatis was isolated alone from 15 symptomatic women. The source of the positive culture was not always the site of symptoms. C. trachomatis was isolated from both the cervix and the urine of 9 patients, either simultaneously or sequentially. The probability of finding a chlamydial infection was 30% in young women with vaginal discharge alone, 33% in those with dysuria and frequency alone and 53% in those with abdominal or pelvic pain in addition to lower urogenital tract symptoms.
从30至100名因排尿困难、尿频或阴道分泌物增多而就诊于家庭医生诊所的女性中分离出沙眼衣原体，相比之下，30名无症状女性中有2人分离出该病原体。多重感染很常见：15名患者中沙眼衣原体与阴道加德纳菌、白色念珠菌、阴道毛滴虫或尿路感染的细菌病因共存。15名有症状的女性单独分离出沙眼衣原体。阳性培养物的来源并不总是症状部位。9名患者的宫颈和尿液中同时或先后分离出沙眼衣原体。仅阴道分泌物增多的年轻女性中发现衣原体感染的概率为30%，仅排尿困难和尿频的女性中为33%，除下泌尿生殖道症状外还有腹部或盆腔疼痛的女性中为53%。
