Pseudomonas Urethritis: A Case Report
Abstract
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.
Downloads
References
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.
Copyright (c) 2020 Journal of the Portuguese Society of Dermatology and Venereology
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles in this journal are Open Access under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).
