BACKGROUND: Most patients with recurrent symptomatic nongonococcal urethritis receive negative test results for Chlamydia trachomatis and Ureaplasma urealyticum, and the cause of such recurrence usually is unknown. GOAL: To assess the association of Mycoplasma genitalium with recurrent nongonococcal urethritis. STUDY DESIGN: In this study, 72 men with nongonococcal urethritis were treated with levofloxacin. Before and after treatment, symptoms and signs were assessed and first-pass urine was examined for C trachomatis, M genitalium, U urealyticum, and Mycoplasma hominis by polymerase chain reaction-based assays. RESULTS: In 6 of 45 men who had no symptoms and no evidence of inflammation after treatment, nongonococcal urethritis recurred. Of these 6 men, 5 had positive test results for M genitalium before levofloxacin treatment, which remained positive afterward. After the second treatment for recurrent nongonococcal urethritis, one man was still had a positive test result for the mycoplasma and experienced a subsequent recurrence. CONCLUSIONS: This study suggests that the persistence of M genitalium in the urethra may be associated with recurrence of nongonococcal urethritis.
BACKGROUND: Most patients with recurrent symptomatic nongonococcal urethritis receive negative test results for Chlamydia trachomatis and Ureaplasma urealyticum, and the cause of such recurrence usually is unknown. GOAL: To assess the association of Mycoplasma genitalium with recurrent nongonococcal urethritis. STUDY DESIGN: In this study, 72 men with nongonococcal urethritis were treated with levofloxacin. Before and after treatment, symptoms and signs were assessed and first-pass urine was examined for C trachomatis, M genitalium, U urealyticum, and Mycoplasma hominis by polymerase chain reaction-based assays. RESULTS: In 6 of 45 men who had no symptoms and no evidence of inflammation after treatment, nongonococcal urethritis recurred. Of these 6 men, 5 had positive test results for M genitalium before levofloxacin treatment, which remained positive afterward. After the second treatment for recurrent nongonococcal urethritis, one man was still had a positive test result for the mycoplasma and experienced a subsequent recurrence. CONCLUSIONS: This study suggests that the persistence of M genitalium in the urethra may be associated with recurrence of nongonococcal urethritis.
Authors: Michael J Schlicht; Steven D Lovrich; Jeffrey S Sartin; Patricia Karpinsky; Steven M Callister; William A Agger Journal: J Clin Microbiol Date: 2004-10 Impact factor: 5.948
Authors: Lisa E Manhart; King K Holmes; James P Hughes; Laura S Houston; Patricia A Totten Journal: Am J Public Health Date: 2007-04-26 Impact factor: 9.308
Authors: Judith Vandepitte; Helen A Weiss; Nassim Kyakuwa; Susan Nakubulwa; Etienne Muller; Anne Buvé; Patrick Van der Stuyft; Richard Hayes; Heiner Grosskurth Journal: Sex Transm Dis Date: 2013-05 Impact factor: 2.830