若年の精巣上体炎患者とその性的パートナーにおけるクラミジア感染症

Abstract

35歳以下の急性精巣上体炎患者32名および彼らの性的パートナー18名について細菌学的検討を行った。男性では, 尿道swabによるクラミジア抗原の検出と顕微鏡検査, 尿培養, 血清中クラミジア抗体の測定を行った。56%において病原微生物が同定され, 最も多いものはクラミジアトラコマティスであり, 11例に検出された。女性パートナーについては, 子宮頸管粘膜上皮細胞をswabで擦過しクラミジア抗原を検出し, さらに尿培養, 血清中クラミジア抗体の測定を行った。9例が, クラミジア感染による精巣上体炎患者のパートナーであり, 彼らの78%は, クラミジアに感染していた

Untreated infection of female partners by men with chlamydial epididymitis may have serious effects on the partners' fertility. To assess the need for detailed microbiological investigation, 32 patients, 35 years old or younger, with epididymitis and their sexual partners were examined. The patients underwent thorough evaluations, including chlamydia isolation, microscopy of urethral swab, bacterial culture, and chlamydia serologic testing. An infective cause was identified in 56% of the patients. The most common microorganism was Chlamydia trachomatis. This microorganism was identified from urethral swabs in 11 patients (34%). A total of 18 sexual partners were traced and investigated for chlamydia antigen by cervical swab, urinary bacterial culture, and chlamydia serologic testing. Of the 18 female sexual partners screened, 9 were partners of patients with chlamydial epididymitis; 78% of these women had the same infection. Young men with epididymitis, as well as their partners, should undergo full microbiological evaluation including Chlamydia trachomatis for adequate treatment of this infection.