Mycoplasma genitalium infection

Mycoplasma is a very common pathogen that can cause urinary and genital tract infections and respiratory tract infections. Among them, genital mycoplasma infection is mainly transmitted through sexual intercourse and is very harmful. We need to have a comprehensive understanding of the symptoms, examinations and treatments of genital mycoplasma infection. Once suspected symptoms are found, we should go to a regular hospital for diagnosis and treatment in time.

Clinical manifestations

1. Non-gonococcal urethritis (NGU)

Urgent, frequent urination, urethral burning or pain, difficulty urinating, and urethral discharge. The external urethral opening is red and swollen, and there may be tenderness along the urethra. There are a large number of red and white blood cells in the urine; urethral secretion smear examination shows no gonorrhea.

2. Pelvic inflammatory disease

Most patients have acute or subacute salpingitis. There is lower abdominal pain, chills and fever; the lower abdomen is tense, tenderness is obvious, and there is tenderness in the adnexal area; the number of white blood cells in the blood increases. In acute pelvic connective tissue inflammation, there is a mass in the pelvis and obvious tenderness.

3. Vaginitis and cervicitis

Increased vaginal discharge and vulvar itching; congestion of the vaginal and cervical mucosa.

4. Perinatal infection

Ureaplasma infection can cause fetal death, stillbirth, miscarriage, premature birth, and low birth weight.

examine

The diagnosis of mycoplasma infection depends on laboratory diagnosis. Commonly used methods include mycoplasma culture, specific antibody detection, metabolic inhibition test, DNA probe and PCR technology, among which culture is the most reliable and PCR technology is the most sensitive. For male patients, samples of urogenital tract secretions, prostatic fluid, semen, etc. can be collected, and first-pass urine and mid-pass urine can be collected for quantitative culture. In addition to cervical and vaginal swabs, amniotic fluid and urethral secretions can also be used for testing. To test for specific antibodies, a blood sample may be collected.

diagnosis

The diagnosis can be made based on the contact history with patients or carriers, symptoms, signs, and laboratory test results.

Differential Diagnosis

This disease should be distinguished from gonococcal urethritis, fungal, Trichomonas or other bacterial infections.

treat

1. General treatment

Contact isolation, disinfection of supplies, and symptomatic treatment as appropriate when there are serious symptoms.

2. Antimicrobial treatment

Reasonable selection of antibiotics is the key to treating mycoplasma infection. In recent years, due to the irregular use of antibiotics, the number of drug-resistant strains of mycoplasma infection has increased year by year, and the types of resistance have become complex and diverse. Generally speaking, the sensitivity rates of josamycin, doxycycline and minocycline to mycoplasma are all above 90%, and they are the main antibiotics for treating mycoplasma. The remaining antibiotics all have varying degrees of resistance. In order to avoid irregular medication, it is best to choose medication based on drug sensitivity to achieve satisfactory results.