ABSTRACT
Corynebacterium propinquum is usually considered part of the normal human oropharyngeal flora and is rarely responsible for clinical infection. We report here what seems to be the first case of acute purulent urethral discharge in a young Iranian man with urethritis acquired after orogenital contact. Attention should be devoted to less common nondiphtheriae Corynebacterium species for differential diagnosis.
Subject(s)
Corynebacterium Infections/complications , Corynebacterium Infections/diagnosis , Corynebacterium/isolation & purification , Dysuria/microbiology , Sexual Behavior , Urethritis/complications , Urethritis/microbiology , Adult , Anti-Bacterial Agents/therapeutic use , Azithromycin/therapeutic use , Corynebacterium Infections/drug therapy , Corynebacterium Infections/microbiology , Corynebacterium Infections/transmission , Drug Therapy, Combination , Humans , Male , Treatment Outcome , Urethritis/diagnosis , Urethritis/drug therapy , Vancomycin/therapeutic useABSTRACT
We report an unusual case of extragenital infection with Trichomonas vaginalis of the conjunctiva of a 32-year-old man. Only one other similar case has been reported in the English language literature. The present report reinforces the widening pathologic spectrum of trichomonads in humans, especially in the context of emerging extragenital infections.
Subject(s)
Conjunctivitis/diagnosis , Conjunctivitis/parasitology , Trichomonas Infections/diagnosis , Trichomonas Infections/parasitology , Trichomonas vaginalis/isolation & purification , Adult , DNA, Protozoan/genetics , Humans , Male , Polymerase Chain Reaction , Trichomonas vaginalis/geneticsSubject(s)
Enterobiasis/diagnosis , Enterobiasis/parasitology , Enterobius/isolation & purification , Reproductive Tract Infections/diagnosis , Reproductive Tract Infections/parasitology , Adult , Animals , Enterobiasis/pathology , Female , Humans , Microscopy/methods , Parasitology/methods , Reproductive Tract Infections/pathologyABSTRACT
OBJECTIVES: Four cases of penile amoebiasis (PA) presenting as genital ulceration seen among men who practiced unprotected insertive anal intercourse in Tehran are described. METHODS: PA was confirmed by observation of motile trophozoites of Entamoeba histolytica from lesions examined by wet mount microscopy. RESULTS: Ulcers were solitary, painful, irregular, discharging and increasing in size. Three heterosexuals and one bisexual had practised insertive anal intercourse in the 2 weeks before diagnosis. Bilateral inguinal lymphadenitis occurred in one case. Direct examination of lesions was positive for the presence of amoebic trophozoites. Complete resolution occurred after treatment with oral metronidazole 800 mg three times daily for 7-10 days. CONCLUSIONS: Clinicians need to be aware of cutaneous amoebiasis in sexually active men who practice unprotected insertive anal sex where intestinal amoebiasis is endemic. Wet mount microscopy is a rapid and useful diagnostic test.
Subject(s)
Amebiasis/diagnosis , Entamoeba histolytica/isolation & purification , Penile Diseases/parasitology , Adolescent , Adult , Amebiasis/pathology , Humans , Iran , Male , Microscopy , Parasitology , Penile Diseases/pathology , Sexual Behavior , Ulcer/parasitology , Ulcer/pathology , Unsafe Sex , Young AdultABSTRACT
The present report describes a case of persistent urethritis accompanied by prostatitis due to Trichomonas vaginalis in a young male patient. The importance of the laboratory diagnosis of trichomoniasis in persistent or recurrent urethritis (ie, testing samples from multiple sites) is highlighted, with the aim of improving the clinical recognition of this pathogen.
