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新生儿滴虫病(作者译)

[Trichomoniasis in the newborn (author's transl)].

作者信息

Schwarz R, Rosegger H, Trauner F

出版信息

Padiatr Padol. 1977;12(3):319-22.

PMID:896250
Abstract

Trichomonas vaginalis was diagnosed in two girls out of 948 newborn babies (0.21%) admitted for various reasons to the Universitäts-Kinderklinik Graz during a 21 months period. One of the patients revealed leukocyturia and vulvovaginitis, the other had both bacterial urinary tract infection and vulvovaginitis being controlled but incomplete with antibiotica therapy. The radiologic finding of the urinary tract were normal. In both cases trichomonas vaginalis was identified in a routine urine specimen. The infants mothers both had vulvovaginitis trichomonalis. After a 5 days course with metronidazole given orally, the symptoms ceased and the urinary tract infection healed. The influence of maternal hormones on the epithelium of the infantile vagina facilitating trichomoniasis in the newborn is discussed.

摘要

在21个月的时间里,格拉茨大学儿童医院收治了948名因各种原因入院的新生儿,其中两名女孩被诊断出患有阴道毛滴虫(0.21%)。一名患者出现白细胞尿和外阴阴道炎,另一名患者同时患有细菌性尿路感染和外阴阴道炎,经抗生素治疗后得到控制但未完全治愈。泌尿系统的放射学检查结果正常。在这两例病例中,均在常规尿液标本中发现了阴道毛滴虫。两名婴儿的母亲均患有滴虫性外阴阴道炎。口服甲硝唑治疗5天后,症状消失,尿路感染治愈。文中讨论了母体激素对婴儿阴道上皮的影响,这种影响可能促使新生儿患滴虫病。

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