Pseudomonas Urethritis: A Case Report

  • Rita Pimenta Serviço de Dermatologia, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte. Lisboa, Portugal
  • João Borges-Costa Serviço de Dermatologia, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte. Lisboa, Portugal; Clínica Universitária de Dermatologia de Lisboa, Faculdade de Medicina, Universidade de Lisboa. Lisboa, Portugal; Unidade de Investigação em Dermatologia, Instituto de Medicina Molecular João Lobo Antunes, Universidade de Lisboa. Lisboa, Portugal; Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa. Lisboa, Portugal
Keywords: Urethritis, Sexually transmitted diseases, Pseudomonas, Urinary Diversion


Non-sexually transmitted urethritis are rare and may be caused by uropathogens in the context of urinary tract manipulation or anatomical abnormalities. We present a case of Pseudomonas urethritis in a 71-year-old man who had undergone prior cystectomy and cutaneous urinary diversion. This case illustrates the importance of considering and investigating less frequent causes of urethritis, ensuring that correct treatment is given, in order to avoid possible complications.


Download data is not yet available.


Jordan S, Toh E, Williams J, Fortenberry L, LaPradd M, Katz B, et al. Aetiology and prevalence of mixed-infections and mono-infections in non-gonococcal urethritis in men: a case-control study. Sex Transm Infect. 2019 (in press) doi: 10.1136/sextrans-2019-054121.

Sarier M, Kukul E. Classification of non-gonococcal urethritis: a review. Int Urol Nephrol. 2019;51:901-7. doi: 10.1007/s11255-019-02140-2.

Lautenschlager S. Non-gonococcal infectious urethritis: pathogen spectrum and management. Hautarzt. 2015;66:12-8. doi: 10.1007/s00105-014-3549-x.

Horner P. The etiology of acute nongonococcal urethritis - The enigma of idiopathic urethritis. Sex Transm Dis. 2011; 38:187-9. doi: 10.1097/OLQ.0b013e318207c2eb.

Frølund M, Lidbrink P, Wikström A, Cowan S, Ahrens P, Jensen J. Urethritis-associated pathogens in urine from men with non-gonococcal urethritis: a case-control study. Acta Derm Venereol. 2016;96:689-94. doi: 10.2340/00015555-2314

Dubois C, Liegeon AL, Fabbro C, Truchetet F. Neisseria Meningitidis urethritis: two case reports. Ann Dermatol Venereol. 2017;144:621-3. doi: 10.1016/j.annder.2017.05.007.

Perkins M, Decker C. Non-gonococcal urethritis. Dis Mon. 2016; 62:274-9. doi: 10.1016/j.disamonth. 2016.03.011.

Barbee L, Khosropour C, Dombrowski J, Manhart L, Golden M. An estimate of the proportion of symptomatic gonococcal, chlamydial and non-gonococcal non-chlamydial urethritis attributable to oral sex among men who have sex with men: a case–control study. Sex Transm Infect. 2016;92:155-60. doi: 10.1136/sextrans-2015-052214.

Hidalgo C, Martos C, Soto B, Ruiz M, Marí J, Fernández J. Prevalence among males from the general population of agents responsible of not ulcerative genital tract infections, assisted in specialized care. Rev Esp Quimioter. 2019;32:545-50.

Riemersma WA, van der Schee CJ, van der Meijden WI, Verbrugh HA, Belkum A. Microbial population diversity in the urethras of healthy males and males suffering from nonchlamydial, nongonococcal urethritis. J Clin Microbiol. 2003;41:1977-86. doi: 10.1128/jcm.41.5.1977-1986.2003.

Leung A, Horner P. Urinary tract infection in patients with acute non-gonococcal urethritis. Int J STD AIDS. 2003;14:502. doi: 10.1258/095646203322025876.

Gall H, Beckert H, Meier-Ewert H, Tümmers U, Pust RA, Peter RU. Pathogen spectrum of urethritis in the man. Hautarzt. 1999;50:186-93. doi: 10.1007/s001050050887.

Schugt I, Altmeyer P, Brockmeyer NH. Pseudomonas aeruginosa infection presenting as gonorrhea. Hautarzt. 2004;55:1067-73. doi: 10.1007/s00105-004-0761-0.

Nicolas X, Granier H, Guen P, Chapalain J, Rouby Y, Talarmin F. Streptococcus pyogenes: a rare etiology of non-gonococcal urethritis and balanitis in the adult. Med Mal Infect. 2006;36:170-1. doi: 10.1016/j.medmal.2005.10.008.

Clarke E, Patel C, Patel R, Unemo M; European Collaborative Clinical Group (ECCG). The 2018-19 International Union against Sexually Transmitted Infections European Collaborative Clinical Group report on the diagnosis and treatment of gonorrhoea in Europe. Int J STD AIDS. 2020;31:77-81. doi:10.1177/0956462419879270.

How to Cite
Pimenta, R., & Borges-Costa, J. (2020). Pseudomonas Urethritis: A Case Report. Journal of the Portuguese Society of Dermatology and Venereology, 78(2), 147-149.
Case Reports