A report on the cure of complex urinary tract infection

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A (good) male, 28 years old, after drinking unprotected high-risk sexual behavior in 24 hours after the onset of urethral mouth purulent sec

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A (good) male, 28 years old, after drinking unprotected high-risk sexual behavior in 24 hours after the onset of urethral mouth purulent secretions, invalid cefixime, traditional Chinese medicine treatment by medical institutions in place, there are still a lot of urethral mouth secretion, frequent micturition, no genital ulcers, without fever and chills, body pain symptoms systemic symptoms, patients with good, eager to come to our hospital

A, clinical examination procedures:

First, according to the patient's urethra abnormal secretions, frequent micturition symptoms such as first check the following items, in order to exclude the identification of gonococcal infection:

1, urine routine: normal, no inflammatory cells;

2, blood routine: normal;

3, the secretion of bacterial smear results:

Epithelial cells: (-)

White blood cells: (+ + +)

Gram negative bacilli: (-)

Gram positive cocci: (-)

4, special bacterial smear: no gram negative diplococcus;

5, genital tract infectious lesions chip screening found:

HPV6, type 11 virus IgG negative

HSV2 virus IgG positive

Chlamydia trachomatis positive IgG

Ureaplasma urealyticum IgG positive

Gonococcal IgG positive

6, prostate fluid routine: appearance milky white liquid

Lecithin body: +++/HP

Prostate granulosa cells: 0-2/HP

White blood cells: 4-9/HP, white blood cell aggregation!

Red blood cell: 0-2/HP

7, prostate seminal vesicle, kidney, bladder, ureter color Doppler ultrasound exploration: kidney, bladder, ureter without exception; transrectal prostate seminal vesicle exploration without abnormal echo.

Conclusion: purulent infection of urethra, the cause of infection needs further screening! The strange thing is that there is no inflammation of the prostate (although the prostatic fluid through the urethra)!

Two, according to the results of the inspection we carried out the following inspection:

1, the secretion of general bacterial culture and identification: negative

2, Neisseria gonorrhoeae culture drug sensitivity: negative

3, Ureaplasma urealyticum and Mycoplasma hominis culture: negative

4, Chlamydia trachomatis antigen: negative

5, secretion again

General bacterial smear results:

Epithelial cells: (-)

White blood cells: (+ + +)

Gram negative bacilli: (-)

Gram positive cocci: (-)

Special bacterial smear: gram negative cocci;

Three, according to bacteria, Neisseria gonorrhoeae culture negative, the results of re secretion smear, we decided to use:

Bacterial culture for bacterial culture!

The results showed that Staphylococcus aureus infection and Staphylococcus aureus infection

The main drug sensitive Staphylococcus aureus infection: rifampicin, ciprofloxacin, moxifloxacin, tigecycline, etc.

The main drug sensitive Staphylococcus hemolyticus infection: Ciprofloxacin, clindamycin, rifampicin and moxifloxacin, tigecycline, etc.

B treatment: oral ciprofloxacin, 0.75/ time, two times a day, Li Fuping (rifapentine) 0.3/ times, two times a day, a course of 10 days.

Abstinence, temperance, no excitant food.

C, therapeutic effect and follow-up:

The symptoms disappeared, the patients were satisfied with the late Chinese medicine longdanxie liver soup Bixie dampness decoction.

Summary: D after the urethra secretions do not see abnormal when the treatment of gonorrhea, do not abuse antibiotic, examination and treatment steps is the kingly way!

 

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