Cases reported "Urethritis"

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11/85. Watering can perineum--a forgotten complication of gonorrhoea.

    In the modern era of broad spectrum antibiotics, urethral fistulae (watering can perineum) is one of the forgotten sequelae of chronic gonococcal infection. We report a 20-year-old unmarried male with gonococcal urethritis and two sinuses in the scrotum (watering can perineum). The micturating and retrograde urethrogram revealed mucosal irregularity and extravasation of contrast medium at the junction of bulbous and membranous urethra. Recent worldwide emergence of multidrug resistant strains of gonococci give rise to alarm. In the present scenario of hiv pandemic, ineffective treatment of patient or partner with gonorrhoea may result in development of these complications. ( info)

12/85. Neisseria catarrhal urethritis: a case report.

    A case of Neisseria catarrhal urethritis presenting with a gonorrhea-like discharge is reported. Prior treatment was not a factor in its isolation and the patient responded well to penicillin. ( info)

13/85. Acute urethritis caused by neisseria meningitidis.

    A 48-year-old heterosexual Japanese man visited the outpatient clinic of Nagoya urology Hospital, complaining of burning pain at voiding and pus discharge from the urethral orifice. These symptoms appeared the day following oral-genital contact (fellatio) with a commercial sex worker. On the basis of the presumptive clinical diagnosis of gonorrhea because of the microscopic detection of diplococci in the urethral discharge, he was treated with levofloxacin (300 mg per day) for 7 days. His symptoms responded quickly and urinalysis taken 7 days later was normal. Microbiological examinations isolated neisseria meningitidis in the urethral discharge by culture with the use of enzymatic profiles. Further prevalence of sexually transmitted diseases (STD) through oral-genital contact would lead to an increase in meningococcal urethritis. ( info)

14/85. Identifying Reiters disease in Papau new guinea.

    Seven cases of non-supportive polyarthritis are reported from the Madang General Hospital over a 12 month period from June 1972. The distribution of diagnostic categories is similar to that reported by Maddocks in Port Moresby, with Reiter's disease featuring prominently. One case of Reiter's disease was associated with a haemolytic anaemia, considered to be auto-immune in origin. ( info)

15/85. amyloid tumour of the urethra presenting as non-specific urethritis.

    amyloid tumour involving the urethra is a well recognised but rare occurrence. Chronic inflammation secondary to gonococcal urethritis is thought to be a possible predisposing factor. We report the case of a young man who presented with non-gonococcal urethritis and haematuria and was subsequently found to have primary amyloid of the urethra. ( info)

16/85. Buccal mucosal graft for urethral reconstruction.

    Urethral reconstruction with graft substances, such as skin and bladder mucosa, has been previously used when primary anastomosis cannot be achieved. However, stricture and meatal prolapse are associated with these grafts. We report the use of buccal mucosa for the reconstruction of urethral defects in 3 patients. One patient with failed operation for hypospadias received tube buccal mucosal graft for urethral replacement. Two patients with urethral necrosis and stricture received onlay buccal mucosal graft. All patients were disease-free during follow-up (range, 12 to 49 months; mean, 36 months). One patient had a pinhole fistula that was successfully managed with simple repair. This technique appears to be useful for urethral reconstruction when a local graft is not available, even in patients with complicated conditions. ( info)

17/85. urethral stricture after pancreas-kidney transplantation due to polypoid urethritis.

    Urologic complications are common after pancreas-kidney transplantation using bladder drainage. We report a case of urethral stricture caused by polypoid urethritis occurring 4 years after simultaneous pancreas-kidney transplantation. Endoscopic exploration revealed irregular, ragged-appearing urethral mucosa. The diagnosis of polypoid urethritis was confirmed histopathologically. ( info)

18/85. Acute urethritis and arthritis-dermatitis syndrome due to neisseria meningitidis.

    Acute urethritis and arthritis-dermatitis syndrome after sexual contact are often assumed to be caused by neisseria gonorrhoeae. We report a case of arthritis-dermatitis syndrome in a 32-year-old man who presented with generalized maculopapular and petechial skin lesions and polyarthritis. Acute urethritis developed 1 week after oro-genital sexual contact with a sex worker about 3 weeks before admission. No pathogen was found on smear of urethral discharge and skin lesions, but Gram-negative diplococci were noted in joint fluid, and blood culture yielded N. meningitidis. His condition improved gradually after repeated arthrocentesis and antibiotic therapy with ceftriaxone followed by ciprofloxacin. Oro-genital contact is a transmission route for N. meningitidis infection manifesting as acute urethritis and arthritis-dermatitis syndrome. ( info)

19/85. Orogenital transmission of neisseria meningitidis serogroup C confirmed by genotyping techniques.

    urethritis caused by neisseria meningitidis in heterosexual patients is presumed to occur via orogenital contact, but confirmation has not been possible in most cases. Presented here is a case of urethritis caused by N. meningitidis, serogroup C, and the isolation of the same microorganism from the nasopharynx and endocervix of the patient's sexual partner. The similarity of the urethral and nasopharyngeal isolates' electrophoretic patterns, obtained using pulsed-field gel electrophoresis, proves the infection was transmitted via orogenital contact. ( info)

20/85. Adenoviral non-gonococcal urethritis.

    Adenoviruses infect mucous membranes, including - on rare occasions - the urethra. Adenoviruses should therefore be considered as yet another cause of chlamydia-negative non-gonococcal urethritis. The following case illustrates the dilemma posed in a patient with conjunctivitis and urethritis. ( info)
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