Chlamydia trachomatis 男子尿道炎の臨床的検討

Abstract

男子尿道炎178例を対象に, 直接塗抹蛍光抗体法(Micro Trak(R))を用いてC. trachomatisの有無を検索, さらにC. trachomatis尿道炎の臨床的, 疫学的特徴を検討した.1) C. trachomatisは, 非淋菌性尿道炎では127例中60例(47.2%), 淋菌性尿道炎では51例中8例(15.7%), 全体では178例中68例(38.2%)で陽性であった.2) C. trachomatis尿道炎では淋菌性尿道炎に比べて, i)感染源をamateurと答えた症例が30.6%と多いこと, ii)潜状期間が28.5±4.4日と長いこと, iii)排尿痛のない症例(33.3%), 尿道分泌物のない症例(34.5%)が多く, 症状が軽微なことの3点が特徴であった

From January through June 1983, 178 male patients with urethritis were investigated on the etiology and epidemiological and clinical features. By using Chlamydia trachomatis direct specimen test (Micro Trak), C. trachomatis was detected in 60 (47.2%) among 127 patients with non-gonococcal urethritis, while it was detected 8 (15.7%) among 51 patients with gonococcal urethritis. The source of infection was a non-prostitute in 30% of chlamydial urethritis, while in gonorrheal urethritis only one patient was infected from a non-prostitute. Mean incubation period of chlamydial and gonorrheal urethritis was 28.5 and 9.2 days, respectively. In chlamydial urethritis, 33.3% of patients did not complain of urination pain and 20.4% showed no urethral discharge. Symptoms of chlamydial urethritis were milder than those of gonorrheal urethritis.