Recovery of Campylobacter species from homosexual men.

Recovery of Campylobacter species from homosexual men.
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从同性恋男性中回收弯曲杆菌属。

DOI:
10.1093/infdis/158.2.464
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发表时间:
1988
期刊:
The Journal of infectious diseases
影响因子:
--
通讯作者:
Bartlett,JG
Bartlett,JG
中科院分区:
--
文献类型:
--
作者:
Laughon,BE;Vernon,AA;Druckman,DA;Fox,R;Quinn,TC;Polk,BF;Bartlett,JG

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结果从3.60例同性恋或双性恋男性、19.70例有症状的腹泻或直肠炎患者和8.70例有或无腹泻的AIDS患者中分离出弯曲杆菌。1例无症状受试者同时定植有两种不同的弯曲杆菌,即C。jejuni和C. cinaedi。我们从志愿者组的10名男性中回收了11株弯曲杆菌(表1)。9名志愿者在研究时报告腹泻或肛门直肠疼痛、分泌物或不适,其中2人感染了空肠弯曲菌或C。cinaedi。排除这九个人(3.6^0/252)报告腹泻或肛门直肠症状,从243名无症状男性中的7名中共分离出8株弯曲杆菌,一个数字代表无症状携带的产量为2.9* 70。从12株弯曲杆菌中回收了12株弯曲杆菌在59名男同性恋或男双性恋者的61次腹泻或直肠炎发作中,有19.7^0例(表1)。从31例腹泻中8例检出弯曲杆菌,6例未检出其他已知病原[7]。其余2例为志贺菌病合并大肠菌群和CLO 3型(C1 jO-3)。一种公认的直肠炎病原体(单纯疱疹病毒、淋病奈瑟菌或沙眼衣原体)与弯曲杆菌同时被鉴定。四名患者出现直肠炎症状。从1例患者中回收的C胎仔亚种胎仔是一种非典型的耐温菌株。
ResultsCampylobacter isolates were recovered from 3.6^ 0 of ho-mosexual or bisexual men, from 19.7^ 0 of diarrhea or proc-titis episodes in symptomatic men, and from 8.7^ 0 of patients with AIDS who did or did not have diarrhea (table 1). One asymptomatic subject was simultaneously colonized with two different species of Campylobacter, ie, C. jejuni and C. cinaedi. We recovered 11 isolates of Campylobacter from 10 men in the volunteer group (ta-ble 1). Nine volunteers reported diarrhea or anorectal pain, discharge, or discomfort at the time of study, and two of these men were infected with C jejuni or C. cinaedi. Exclusion of these nine men (3.6^ 0 of 252) reporting diarrhea or anorectal symptoms left a total of eight Campylobacter isolates from seven of the 243 asymptomatic men, a number representing a yield of 2.9* 70 for asymptomatic carriage.There were 12 strains of Campylobacter recovered from 12 (19.7^ 0) of 61 episodes of either diarrhea or proctitis in 59 homosexual or bisexual men (table 1). Campylobac-ter organisms were recovered from eight of 31 cases of di-arrhea, and six of the eight cases had no other recognized agent of diarrhea recovered [7], The isolation of C. sputo-rum and CLO group 3 (C1jO-3) occurred concurrently with shigellosis in the remaining two cases. A recognized agent of proctitis (herpes simplex virus, Neisseria gonorrhoeae, or Chlamydia trachomatis) was identified concurrently with Campylobacter spp. in four patients presenting with symptoms of proctitis. The C fetus subspecies fetus recovered from one patient was an atypical, temperature-tolerant strain.