Stanojcić A, Perić J, Radmilović A
Institute of Kidney Diseases, Zvezdara Clinical Centre, Belgrade.
Srp Arh Celok Lek. 1996;124 Suppl 1:210-1.
Chlamydia trachomatis is an ubiquitous bacterium, strictly intracellular organism. The D-K serovars urethritis, cervicitis, endometritis, salpingitis, periappendicitis and perihepatitis, in women, urethritis, prostatitis, epididymitis and Reiter's syndrome in 1-2% of cases in men. Sterility is the most serious complication in both sexes. Chlamydial infections are sexually transmitted diseases, often asymptomatic, prone to recurrences. Cure occurs only when both sexual partners are treated simultaneously. We treated 40 patients, 24 women and 16 men, from 1991-1994, who presented in nephrologic offices with symptoms of chlamydial urethritis. Detection of Chlamydia trachomatis was performed by direct fluorescent antibody stain. All patients had positive urethral swab, six women had chlamydial cervicitis too, one man had Reiter's syndrome, one man orchiepididymitis, and five men prostatitis. Optimal therapy for Chlamydia trachomatis infections consists of a 10-14 day regimen of quinolone, of tetracycline, and macrolides. We used sulfonamide rarely. Because of very serious sequelae of initial infection with Chlamydia trachomatis, every patient with urethritis should be examined by urethral swab for Chlamydia testing. Both partners should be examined and treated simultaneously.
沙眼衣原体是一种普遍存在的细菌，严格的细胞内寄生生物。D-K血清型可导致女性尿道炎、宫颈炎、子宫内膜炎、输卵管炎、阑尾周围炎和肝周围炎，男性尿道炎、前列腺炎、附睾炎以及1%-2%的病例出现赖特综合征。不育是两性中最严重的并发症。衣原体感染是性传播疾病，通常无症状，易于复发。只有当性伴侣双方同时接受治疗时才能治愈。1991年至1994年期间，我们治疗了40例患者，其中女性24例，男性16例，这些患者在肾病科就诊，表现出衣原体尿道炎的症状。通过直接荧光抗体染色检测沙眼衣原体。所有患者尿道拭子检测均为阳性，6名女性同时患有衣原体宫颈炎，1名男性患有赖特综合征，1名男性患有睾丸附睾炎，5名男性患有前列腺炎。沙眼衣原体感染的最佳治疗方案是使用喹诺酮类、四环素类和大环内酯类药物进行10-14天的治疗。我们很少使用磺胺类药物。由于沙眼衣原体初次感染会导致非常严重的后遗症，每例尿道炎患者都应进行尿道拭子检查以检测衣原体。性伴侣双方都应接受检查并同时治疗。
