URETRITIS POR HAEMOPHILUS INFLUENZAE. PRIMER REPORTE DE CASO EN PARAGUAY
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Rev Cient Cienc Méd
Abstract
Introducción: La uretritis es el síndrome más frecuente en el contexto de infección de transmisión sexual (ITS). Caso clínico: Paciente masculino de 26 años, bisexual, acude a una Clínica Comunitaria, por cuadro de un día de perdida espontánea y continua de secreción uretral, más disuria y adenomegalia izquierda. Niega fiebre y otros síntomas. Observación: última exposición sexual, oral insertiva, homosexual, casual y desprotegida, 7 días previos a sintomatología. Se solicitan testeos rápidos para ITS, orina simple, frotis y cultivo de exudado uretral. Se administra tratamiento empírico dual combinando y paciente evoluciona favorablemente. Informe de cultivo de exudado uretral positivo, aislándose Haemophilus influenzae. Discusión: La uretritis por H. influenzae es poco frecuente, presumiblemente adquirida por prácticas orogenitales desprotegidas. Es estadísticamente significativa en población HSH (hombres que tienen sexo con hombres). En Paraguay no se tienen datos sobre agentes etiológicos de uretritis infecciosa en varones, de allí la importancia del reporte.
Introduction: Urethritis is the most common syndrome in the context of sexually transmitted infection (STI). Clinical case: Patient of 26-year-old cis man, bisexual, attended a Community Clinic, complaining of one day of spontaneous and continuous loss of urethral secretion, plus dysuria and left adenomegaly. He denies fever and other symptoms. Observation: last sexual, oral insertive exposure, homosexual, casual and unprotected, 7 days prior to symptoms. Rapid tests for STIs, simple urine, smear and culture of urethral exudate are requested. Combined dual empirical treatment was administered and the patient progressed favorably. Positive urethral exudate culture report, isolating Haemophilus influenzae. Discussion: H. influenzae urethritis is rare, presumably acquired by unprotected oral practices. It is statistically significant in the MSM population (men who have sex with men). In Paraguay there is no data on etiological agents of infectious urethritis in men, hence the importance of the report.
Introduction: Urethritis is the most common syndrome in the context of sexually transmitted infection (STI). Clinical case: Patient of 26-year-old cis man, bisexual, attended a Community Clinic, complaining of one day of spontaneous and continuous loss of urethral secretion, plus dysuria and left adenomegaly. He denies fever and other symptoms. Observation: last sexual, oral insertive exposure, homosexual, casual and unprotected, 7 days prior to symptoms. Rapid tests for STIs, simple urine, smear and culture of urethral exudate are requested. Combined dual empirical treatment was administered and the patient progressed favorably. Positive urethral exudate culture report, isolating Haemophilus influenzae. Discussion: H. influenzae urethritis is rare, presumably acquired by unprotected oral practices. It is statistically significant in the MSM population (men who have sex with men). In Paraguay there is no data on etiological agents of infectious urethritis in men, hence the importance of the report.
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Vol. 26, No. 2