与真菌感染有关的慢性前列腺炎5例报告

Chronic prostatitis relating to fungal infection(Report of 5 cases)

目的:探讨前列腺真菌感染与慢性前列腺炎的关系。方法:分析与真菌感染有关的慢性前列腺炎5例,发现5例前列腺液中有较多的白细胞和真菌丝,遂按Meares-Stamey分段法行尿液和前列腺液真菌培养。结果:真菌培养均阳性,真菌菌落为50000～100000个/ml,证实真菌来源于前列腺。经口服氟康唑治愈。结论:真菌是慢性前列腺炎的病原菌,慢性前列腺炎在长期治疗过程中易继发前列腺真菌感染。

Purpose:Five cases of chronic prostatitis relating to fungal infection were reported for exploration of the relationship between chronic prostatitis and prostatic fungal infection. Methods:Many white blood cells and mycelia were found from the prostatic solution smear, and the fungal prostatic solution cultares were achieved by the Smear Stamey method in these five cases. Results:The prostatic solution cultures were positive for 50 000～100 000 colonies fungi per millilitre, and confirmed that the fungi came from the prostate in these five cases. All the cases had been cured by oral administration of fluconazole. Conclusions:Fungus was the pathogen of these chronic prostatitis or prostatic infections secondary to fungus had happened during the long periods of therapies for these cases.