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Abstract: A 30-year-old young male patient came to the clinic with symptoms such as soreness and swelling of the urethra during urination after impure sex, itching of the urethra when not urinating, and thin mucous discharge from the urethral orifice, which was diagnosed as mycoplasma urethritis, a common non-specific urethritis in clinical practice. According to the drug sensitivity results, the patient was given the application of sensitive antibiotics of that drug for treatment, the patient’s symptoms disappeared, and the indicators gradually returned to normal.
[Basic information] Male, 30 years old
Disease Type】Mycoplasma urethritis
Hospital】Zhengzhou First People’s Hospital
Time of consultation】January 2022
Treatment plan】Oral medication (levofloxacin tablets, feverfew granules, moxifloxacin tablets)
Treatment Period】10 days of outpatient treatment
Effectiveness】The symptoms of burning urination and itching in the urethra were relieved and the disease gradually recovered.
I. Initial consultation
Patient Xiao Ding, 30 years old, came to our hospital and reported that in the last 3 days, he had burning urethra during urination and itching urethra when he did not urinate, and in the morning, he could see secretion crusting in his underwear. After the symptoms appeared, the patient took oral cefixime pellets on his own, but the effect was not obvious, so he came to the clinic.
The patient’s medical history was inquired. The patient had not experienced such symptoms before, had no history of urinary tract diseases, and had not recently consumed alcohol, overexertion, or spicy and stimulating food. The patient was asked about his recent sexual history and replied that he had an unclean sexual history 1 week ago and did not use a condom during that time.
The patient was examined and both kidney areas were found to be free of pressure pain and percussion pain, and the suprapubic bladder area was examined and showed no pressure pain. The patient’s genital development was normal, the foreskin was long, the urethral opening was not abnormal, and a thin mucus could be squeezed out after squeezing the urethra.
The patient underwent urinary routine, urethral discharge smear, urethral discharge culture, and urinary ultrasound in the outpatient clinic. The urinary ultrasound did not show any urinary tract abnormality, and the routine urine results showed a significantly increased white blood cell count, and the urethral discharge smear did not show gonococcus.
II. Treatment history
The patient had no history of antibiotic allergy, so he was given oral treatment with levofloxacin tablets and hot gonorrhea granules. The patient was advised to drink more water and rest, not to drink alcohol, eat spicy and stimulating food, and to abstain from sexual intercourse, and to keep the vulva clean, change underwear and disinfect every day to prevent cross-infection with family members.
Three days later, the patient came for a follow-up examination and complained that his symptoms had subsided. The culture result of urethral secretion showed positive for Mycoplasma solium, which basically diagnosed the patient as Mycoplasma solium infection and confirmed the diagnosis of mycoplasma urealyticum.
III. Treatment effect
After 7 days of standard drug treatment, the patient said that the painful urination and urethral discharge disappeared, and there was occasional itching in the urethra when he did not urinate. Then the patient was advised to drink more water and continue to take hot gonorrhea pellets orally for 1 week. After 10 days of telephone follow-up, the patient indicated that the symptoms had completely disappeared and the condition had basically recovered.
IV. Notes
We are glad that after a series of treatment, the patient’s condition was cured and the somatic symptoms disappeared. However, patients still need to pay attention to the following points in their daily lives.
1, mycoplasma urethritis is caused by sexual transmission, mostly caused by a history of impure sexual intercourse, so it is recommended that patients should keep clean, avoid impure sex, in the unsure whether safe sex, pay attention to protect themselves, it is best to use condoms, can avoid the occurrence of this sexually transmitted diseases.
2, to maintain good living habits, keep the perineum clean and dry, and at the same time for underwear and other intimate clothing, to be washed daily and exposed to the sun or disinfected in a timely manner. Before the disease is completely cured still have to prohibit sexual life to prevent causing cross-infection. In addition, it is best to check whether mycoplasma infection exists in the sexual partners at the same time, and try to treat men and women together.
V. Personal insight
In the clinic, mycoplasma urethritis and gonococcal urethritis in the etiology, symptoms and other aspects are similar, treatment also need to apply antibiotics, but the difference is that the pathogenic bacteria of the two different sensitivity to various types of antibiotics, so the use of the right drugs can greatly accelerate the speed of improvement.
The patient in this article was treated with intermediary antibiotics before the specific type of pathogenic bacteria was clarified, and the development of the disease was controlled, and when the urine culture results came out, the patient was immediately switched to sensitive antibiotics, which eventually led to a successful cure. This is a great way to get the most out of your UTI. You need to go to the hospital as soon as possible to check the type of antibiotics that are sensitive to the pathogenic bacteria and use them regularly to speed up the treatment process.