患者,男,20岁,油料保管员,未婚。1990年9月因“尿路感染”就诊。主诉:尿急、尿痛5天,伴血尿、溢脓,夜间加重,以致阴茎自动勃起痛疼,放射至睾丸。既往健康,有冶游史,否认家族中性病史及结核史。查体:发育正常,尿道口粘连、充血、伴有轻度渗出和水肿。尿道脓性分泌物涂片查到淋球菌,尿培养阳性。确诊为淋菌性尿道炎。经抗感染及对症治疗,11天临床症状消失。经两年随访,无复发。 淋病主要是通过直接性接触或间接接触被 Patient, male, 20 years old, fuel keeper, unmarried. September 1990 due to “urinary tract infection” treatment. Chief Complaint: urgency, dysuria 5 days, with hematuria, overflow pus, aggravated at night, resulting in erect penis pain, radiation to the testicles. Past health, a history of rule, denied family history of neutral and tuberculosis. Physical examination: normal development, urethral orifice adhesions, congestion, accompanied by mild exudate and edema. Urethral purulent smear smear gonococcal urine culture positive. Confirmed as gonococcal urethritis. Anti-infection and symptomatic treatment, 11 days clinical symptoms disappear. After two years of follow-up, no recurrence. Gonorrhea is mainly through direct sexual contact or indirect contact