Corynebacterium propinquum Associated With Acute, Nongonococcal Urethritis

摘要

Corynebacterium propinquum is usually considered part of the normal human oropharyngeal flora and is rarely responsible for clinical infection. We report here what seems to be the first case of acute purulent urethral discharge in a young Iranian man with urethritis acquired after orogenital contact. Attention should be devoted to less common nondiphtheriae Coiynebacterium species for differential diagnosis. A 27-year-old heterosexual Iranian man attended a private infectious disease clinic in Tehran, Iran, with a 5-day history of urethritis presenting with dysuria and a white-yellow urethral discharge. He acknowledged that he had practiced unprotected fellatio and had engaged in protected vaginal intercourse with his casual female partner 4 days before the onset of his symptoms. The patient denied any history of a sexually transmitted disease and sexual exposure for at least 3 months. Physical examination revealed a slight purulent discharge with no evidence of inguinal adenopathy or genital lesions.