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男,24岁,运输工人。1986年6月10日因尿急、尿频、尿痛来我院外科诊治。患者于两周前有非法性交史,约3天后尿道口肿痛,自溢脓液,未经处治,溢脓消失。此后反复出现尿急、尿频、尿痛,诊断为急性尿道炎。2个月中先后给予青霉素、磺胺、强力霉素、先锋霉素等治疗,尿急、尿频、尿痛消失,但仍有尿意感、尿不净症状,于8月6日转我科。检查尿道口无红肿,无分泌物,阴茎有轻度压痛,前列腺无异常,诊断为慢性淋病性尿道炎。给予青霉素480万u一次肌注。口服丙磺舒1g。次日上午再诊,诉述口服药后8小时口唇左下方、胸部左乳头周围及龟头包皮系带
Male, 24 years old, transport worker. June 10, 1986 due to urgency, frequent urination, dysuria to our hospital surgical treatment. The patient had an unlawful sexual intercourse two weeks ago. About 3 days later, the urethral orifice was swollen, overflowing with pus, and left untreated. Repeated urinary urgency, frequent urination, dysuria, diagnosis of acute urethritis. 2 months has given penicillin, sulfa, doxycycline, cephalosporins and other treatment, urgency, frequent urination, dysuria disappeared, but there are still urinary tract symptoms, urinary tract symptoms, on August 6 to my department. Check the urethra no swelling, no secretions, penis mild tenderness, no abnormal prostate, diagnosed as chronic gonococcal urethritis. Give 4.8 million u penicillin intramuscular injection. Progesterone orally 1g. The next morning re-consultation, narration 8 hours after oral administration left lower lip, chest left nipple and glans foreskin lace