尿路性器感染症患者に対するChlamydia trachomatisの検出

Abstract

1)男子尿路性器感染症のクラミジア陽性率29.0%で, 疾患別には淋疾を含む尿道炎30.5%, 副睾丸炎27.%, 前立腺炎21.1%であった.2)非淋菌性尿道炎のクラミジア陽性率は33.0%で, また淋菌性尿道炎の23.3%にクラミジア感染症を合併していた.3)年齢分布は21歳～40歳までの間に91.1%が集中しており, 平均31歳であった.4)感染経路は77.8%が性交によるもので, そのうちprostituteからの感染が62.1%と1番多かった.5)潜伏期間は2～3週間前後のものが多く, 1ヵ月以上と長いものも認められた.また, 感染の機会から症状発現の時期が明らかでない症例が多かった.6)細胞培養法と直接塗抹法の陽性一致率は37.5%で, 陰性一致率は100%であった.7) IgM抗体陽性例を1例も認めなかった

Between January, 1984 and August 1986, we examined 151 male patients with urogenital infections including 114 cases of urethritis, 18 cases of epididymitis, 19 cases of prostatitis at the outpatient clinic of the department of urology, Toho University's Ohmori Hospital. The positive rate for Chlamydia trachomatis from the urethra based on cell cultures was 29.0%, (30.5% for urethritis, 27.8% for epididymitis, and 21.1% for prostatitis). The positive rate for non-gonorrheal urethritis was 33.0% and chlamydia infections were complicated by gonorrheal urethritis in 23.3% of the cases. The mean age of the patients with positive Chlamydia trachomatis was 31.9 years. The route of infection in 77.8% of the cases was sexual intercourse the most common cause of which was infection from a prostitute in 62.1% of the cases. The latent period was in most cases from 2-3 weeks.