Hebelka M, Lincoln K, Sandberg T
Department of Infectious Diseases, Central Hospital, Uddevalla, Sweden.
Scand J Infect Dis. 1993;25(1):141-3.
A 51-year-old man presented with acute cystitis at a time when his wife was admitted with symptoms of acute pyelonephritis. Before the man developed his symptoms his wife had complained of urinary frequency and dysuria for a 2-week period. Two weeks after a 10-day course with trimethoprim he experienced a relapse manifesting as acute febrile pyelonephritis. The strains of Escherichia coli isolated from the urine of both patients belonged to the same serotype O51, O117:K1, were non-haemolytic, produced aerobactin, expressed P-fimbriae, and showed identical antibiotic susceptibility pattern. The findings strongly suggest that the E. coli strain might have been sexually transmitted from the wife to her husband.
一名51岁男性因急性膀胱炎就诊，当时他的妻子因急性肾盂肾炎症状入院。在该男性出现症状之前，他的妻子已经诉说了两周的尿频和排尿困难。在服用甲氧苄啶进行为期10天的疗程两周后，他经历了一次复发，表现为急性发热性肾盂肾炎。从两名患者尿液中分离出的大肠杆菌菌株属于同一血清型O51、O117:K1，无溶血现象，产生气杆菌素，表达P菌毛，且显示出相同的抗生素敏感性模式。这些发现强烈提示该大肠杆菌菌株可能是通过性传播从妻子传染给丈夫的。
