Cases reported "urethritis"

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31/85. maltose-negative neisseria meningitidis isolated from a case of male urethritis.

    A maltose-negative strain of neisseria meningitidis isolated from a male patient with urethritis was initially identified as a gonococcus on the basis of carbohydrate utilization tests. Additional investigations initiated because of atypical colony morphology and a negative superoxol reaction showed the isolate to be a meningococcus with defective maltose-phosphorylating capacity. ( info)

32/85. Reiter's syndrome in childhood.

    Seven boys with Reiter's syndrome are described. Three had diarrhea and 2 had venereal contact as antecedent events. All developed the complete triad of symptoms in a 5- to 24-day period. Joint involvement of the lower extremities was seen in each boy. HLA-B27 typing was positive in 6 of 7 (86%). serum and synovial fluid levels of CH50 and C3 were elevated in 5 boys and confirm similar findings in adults. Two boys recovered spontaneously without therapy and 3 boys received aspirin with a rapid and complete resolution of symptoms. The two oldest boys had the most severe joint involvement and were receiving phenylbutazone with continuing active arthritis when they were lost to followup. Reiter's syndrome in children may be infrequently reported because its antecedents and the triad symptoms are common occurrences in pediatric practice. ( info)

33/85. CDC group HB-5 as a cause of genitourinary infections in adults.

    Isolates from five patients with genitourinary infections diagnosed over a 7-week period were identified as CDC group HB-5. The organisms caused clinical presentations of pelvic inflammatory disease in three women and urethritis in the only male in the series. The remaining patient received surgical treatment for a Bartholin gland abscess. Since the clinical and temporal presentations were remarkable and the questions of sexual mode of transmission and strain relatedness were of concern, the five strains were examined further by multilocus enzyme electrophoresis and ribosomal dna typing. overall, the five clinical isolates were more closely related to each other than to the control strains. This is the first report describing genitourinary infections caused by group HB-5. While the pathophysiology of group HB-5 infections remains to be fully elucidated, the possibility that this organism may be sexually transmitted deserves further study. ( info)

34/85. trichomonas infections in men.

    trichomonas vaginalis, a common pathogen in the female genital tract, produces a characteristic clinical picture in women. Less well recognized are the manifestations of Trichomonas infestations of the male genital tract, which include urethritis and chronic prostatitis. Multiple-glass urinalysis and selective use of Trichomonas cultures may improve recognition of this organism in the family practice setting. ( info)

35/85. urethritis caused by neisseria meningitidis group B: a case report.

    We describe a case of acute urethritis caused by neisseria meningitidis group B in a heterosexual man. The symptoms started five days after intercourse that included fellatio with a casual female partner. No other urethral pathogens could be isolated. After intramuscular administration of penicillin g, clinical signs and symptoms of urethritis disappeared, and despite repeated attempts, N. meningitidis could no longer be isolated from the urethra. This case illustrates the need for careful diagnostic procedures. ( info)

36/85. Postmeningococcal urethritis caused by chlamydia trachomatis: a case report.

    The authors describe a case of meningococcal urethritis that was followed, after treatment with spectinomycin, by development of urethritis due to chlamydia trachomatis. This case report emphasizes the need for thorough differentiation of species of Neisseria and of direct microbiologic diagnosis of chlamydial infection in laboratories. ( info)

37/85. Dual infection of the conjunctiva with herpes simplex virus and chlamydia trachomatis.

    We describe a homosexual man with simultaneous infection of the conjunctiva by herpes simplex virus and chlamydia trachomatis. This dual infection was associated with a genital and disseminated herpes simplex virus infection as well as asymptomatic chlamydial infection of the rectum and "nonspecific" urethritis. The findings in this case show the importance of laboratory investigation in cases of conjunctivitis associated with genital infection. ( info)

38/85. Autodigestion of the glans penis and urethra by activated transplant pancreatic exocrine enzymes.

    A case of synchronous kidney and pancreas transplantation in which a whole pancreas graft had been drained to the urinary bladder is discussed. On the 137th postoperative day, the patient presented with symptomatic balanitis and urethritis. Documented enzymatic activation of the trypsinogen/chymotrypsinogen, which is not present in symptom-free control patients, was thus thought to be responsible for these symptoms. Conversion to enteric drainage by means of a Roux-en-Y loop resulted in resolution of both symptoms and urinary enzymatic activation. Recurrent urinary tract infections were thought to be the most likely mechanism responsible for these findings. ( info)

39/85. Gonococcal urethritis with bilateral tysonitis.

    A case of gonococcal urethritis with bilateral tysonitis is presented. Results of gram's stain and positive culture for neisseria gonorrhoeae confirmed the diagnosis. The patient was treated successfully with aqueous procaine penicillin with probenecid followed by oral ampicillin for ten days. ( info)

40/85. tetracycline-induced pancreatitis.

    A 21-year-old man developed acute pancreatitis on two separate occasions after a short-term course (less than 10 days) of tetracycline in the presence of normal liver and renal function. Although tetracycline is frequently listed as a cause of pancreatitis, this is only the second documented case of tetracycline-induced pancreatitis in an otherwise healthy person. We review the pertinent literature. ( info)
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