持续发热并脓尿:不完全性川崎病诱发的泌尿道感染症状

We report two patients with incomplete Kawasaki disease that presented as apparent urinary tract infection. Persistent fever and pyuria were the initial presentation without concomitant signs suggestive of Kawasaki disease; thus the patients were treated as urinary tract infection. Fever persisted despite antibiotic treatment. Diagnostic criteria of Kawasaki disease were not fulfilled for these two patients, yet aneurysmal dilatation of the coronary artery was noted 10 and 18 d, respectively, after the onset of fever. The diagnosis of incomplete Kawasaki disease was assigned when the coronary artery abnormality was detected. Fever subsided within 24 h of administration of intravenous immunoglobulin. Conclusion: This report highlights the pote-ntially misleading presentation of fever and pyuria as the sole initial manifestation of incomplete Kawasaki disease. Echocardiography is indicated to detect coronary artery abnormality when fever persists in such patients after adequate antibiotic treatment and thorough urological evaluation.

药膏外涂治疗男性性功能减退43例

阳痿、早泄、性功能减退,临床上颇为常见。近年来,我们采用自制壮阳固本膏外涂穴位的方法,观察治疗男性性功能减退,并与专治本病的内服中成药雄狮丸作对照,现将临床观察小结报告如下:

宫内节育器异位至膀胱并形成巨大结石一例

子宫节育器（intra-uterine device,IUD）异位至膀胱内国内外文献有报道,但异位至膀胱内并形成结石报道相对较少[1,5]。我院收治子宫内节育器异位于膀胱并形成巨大结石1例,临床、实验室、医学影像、手术过程、病理标本资料完善,现结合有关文献复习报道如下。病例资料患者,女,44岁,因＂尿痛、尿急、尿频、排尿中断10余年,加重3 d入院＂,入院查体：生命体征稳定,发育正常,营养中等。

关注老人性需求 防控老年性传播疾病

谈起＂性＂和＂性病＂,大多数人认为是说给年轻人听的。可事实上很多老年人也＂宝刀未老＂,且疾病监测数据表明,淋病、梅毒等性传播疾病正侵袭着老年群体,应该引起大家足够的重视。老人患性病不足为奇独居多年的张大爷,今年80岁了,在年初的例行体检中竟然被查出患有梅毒。

医药信息

肾上腺性腺分泌异常致一女童出现男性性征 据《健康报》报道:安徽砀山县权集乡一5岁女童,在其不到3岁时出现男性第二性征发育,伴向心性肥胖,嘴唇出现较长胡须,下身长出阴毛,阴蒂增大状如阴茎;皮肤色泽渐深,寿眉盈寸,背部有1厘米长的肤毛,性格变得孤僻,酷似一老翁。 父母带其多方求医,未能治愈。最近,经蚌埠医学院附属医院泌尿外科检查发现,孩子的肾上腺长有一5厘米大小的肿块,影响了肾上腺性腺的正常分泌,使孩子生理及心理特征发生异常。医生摘除肾上腺肿瘤后,患者第二性征恢复正常。