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  #1  
Old 07-07-2011
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Bacteria Urethral discharge but no microorganism!

‎22-yr-old man has 36 hr. history of pain & swelling of his left testis. One week ago he had mild dysuria and urethral discharge. Gram's stain of material from urethra shows numerous neutrophils but no organisms. The most likely cause of this patient's symptoms is infection with:
A. Chlamydia trachomatis
B. Cytomegalovirus
C. E.coli
D. Herpesvirus
E. Mumps virus
F. Neisseria gonorrhoea
G. Trichomonas vaginalis
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Old 07-07-2011
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Aaaaa.......
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Old 07-07-2011
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Quote:
Originally Posted by confident View Post
Aaaaa.......
Could you explain in brief..?
Thanks
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Old 07-07-2011
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A. Chlamydia trachomatis
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Old 07-07-2011
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Quote:
Originally Posted by montre View Post
Could you explain in brief..?
Thanks
g) Trichomonas vaginalis in men with urethritis and prostatis, yellowish green discharge in female, saline wet mount test. So not an option.
f) as soon as q says organisms not found,pmn+..go for f) and a)...but a) does not stain due to thin capsule so i thought a)
remaining are virus and they dont cause that features
Ecoli produce diarrhea....

organism seen within wbc is neisseria donut shape... so not option...
what is the answer and explaination given for this... please??

Last edited by Ace3; 07-07-2011 at 05:01 PM.
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Old 07-07-2011
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Quote:
Originally Posted by confident View Post
g) Trichomonas vaginalis in men with urethritis and prostatis, yellowish green discharge in female, saline wet mount test. So not an option.
f) as soon as q says organisms not found,pmn+..go for f) and a)...but a) does not stain due to thin capsule so i thought a)
remaining are virus and they dont cause that features
Ecoli produce diarrhea....

what is the answer and explaination given for this... please??
bebix can you explain your choice??
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  #7  
Old 07-07-2011
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Neisseria gonorrhoea shows up on Gram Stain, therefore we can exclude this out
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  #8  
Old 07-07-2011
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This case is called non-specific urethritis.
The most common cause in men is Chlamydia
Rx. Erythromycin
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Old 07-07-2011
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I Agree Chlamydia..
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Old 07-08-2011
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Mumps virus would cause Orchitis (inflammation of testes).
Would it be E?
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Old 07-08-2011
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Quote:
Originally Posted by montre View Post
‎22-yr-old man has 36 hr. history of pain & swelling of his left testis. One week ago he had mild dysuria and urethral discharge. Gram's stain of material from urethra shows numerous neutrophils but no organisms. The most likely cause of this patient's symptoms is infection with:
A. Chlamydia trachomatis
B. Cytomegalovirus
C. E.coli
D. Herpesvirus
E. Mumps virus
F. Neisseria gonorrhoea
G. Trichomonas vaginalis
the ans is A
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Old 07-08-2011
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The ans is A
__________________
Learning is like to row your boat upstream, if you stop learning, you will be pushed back by the current.
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Old 07-08-2011
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yep, its a
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Old 07-09-2011
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its clamydia trachomatis- nonspecific urethretis. its doesnt have a cell wall so no stain
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Old 04-06-2016
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Quote:
Originally Posted by montre View Post
‎22-yr-old man has 36 hr. history of pain & swelling of his left testis. One week ago he had mild dysuria and urethral discharge. Gram's stain of material from urethra shows numerous neutrophils but no organisms. The most likely cause of this patient's symptoms is infection with:
A. Chlamydia trachomatis
B. Cytomegalovirus
C. E.coli
D. Herpesvirus
E. Mumps virus
F. Neisseria gonorrhoea
G. Trichomonas vaginalis
A. Chlamydia trachomatis
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Old 04-06-2016
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Definitely A. Chlamydia is an obligate intracellular organism so they don't gram stain. I use the mnuemonic: These Rascals Microscopically Lack Color for Treponema, Ricketssia, Mycoplasma, Legionella, and Chlamydia that don't gram stain well.
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