克拉米迪亚白虫的临床,内镜和组织学特征在男性的前列腺炎
Marta Teller1, Antonio Giordano2, Carlos González-Muñoza2
1Inflammatory Bowel Disease Unit, Gastroenterology Department, Institut de Recerca Sant Pau (IR-SantPau), Hospital de la Santa Creu i Sant Pau, Barcelona, Catalonia, Spain; Inflammatory Bowel Disease Unit, Gastroenterology Department, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Catalonia, Spain.
概括
男性的甲状腺炎 (chlamydia trachomatis proctitis) 通常模仿炎症性肠道疾病或癌症,呈现直肠出血和. 诊断需要PCR测试,因为症状和内镜检测结果是非特异性的.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 产卵科 产卵科是指产卵科.
背景情况:
- 甲状腺炎 (C. trachomatis) 是感染性直肠炎的常见原因.
- 经常被误诊为炎症性肠病 (IBD) 或直肠癌.
- 临床表现和内镜检测结果可能是不特定的.
研究的目的:
- 为了描述C. trachomatis proctitis的临床症状.
- 详细介绍C. trachomatis proctitis的内镜和组织病理学特征.
- 突出诊断的挑战,区分C. trachomatis的直肠炎和其他直肠疾病.
主要方法:
- 一个单一机构的回顾性观察研究.
- 纳入患有C. trachomatis直肠炎的患者,通过实时PCR在直肠活检或部涂抹中确认.
- 审查内镜评估和组织病理学发现.
主要成果:
- 包括28名男性患者;20人报告与男性发生性关系. 同时感染 (艾滋病毒,淋病,梅毒) 是常见的.
- 直肠出血 (79%) 和腹 (43%) 是主要症状. 内镜检测结果包括红血热 (71%) 和 (57%).
- 组织学显示混合的炎症透 (95%),隐藏炎 (54%),和隐藏 (32%). 在57.1%的病例中,怀疑瘤,IBD或裂.
结论:
- 在男性中,C. trachomatis的前列腺炎呈现出令人担忧的症状和非特异性的直肠.
- 慢性炎症的组织病理学发现可能会使差异诊断复杂化.
- 根据目前的诊断方法,区分C. trachomatis proctitis与IBD和直肠癌是具有挑战性的.
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