成人衣原体感染的临床表现

Clinical Manifestations of Adult Chlamydia Trachomatis Infection

沙眼衣原体是引起性传播性泌尿生殖道感染最常见的病原体。由于生理解剖结构不同,男性和女性患者感染沙眼衣原体后的临床表现存在差异,男性在临床上可表现为尿道炎、附睾炎、附睾-睾丸炎、前列腺炎、反应性关节炎等;女性感染可表现为急性尿道炎、前庭大腺炎、宫颈炎、上生殖道感染、肝周炎、盆腔炎性疾病等。此外,尚有两性均可出现的共同表现,包括感染直肠、结膜等部位而导致的直肠炎和眼结膜炎等。

Chlamydia traehomatis is the most common bacterial cause of sexually transmitted urogenital tract infections. Because of different anatomic structure,the clinical menifestations of men and women are different. Men can present as urethritis,epididymitis,epididymo-orehitis,prostatitis and reactive arthritis;while women can experience cervicitis, acute urethritis, pelvic inflammatory disease and perihepatitis. Both men and women can experience clinical syndromes due to infection at common epithelial sites, including the rectum and conjunctivae which lead to proctitis and conjunctivitis.