Febrile urinary tract infection in men.

Febrile urinary tract infection (UTI) in adult men has received little attention in the literature, partly due to the low incidence compared with women. In a multidisciplinary project, infectious disease specialists, urologists and microbiologists studied the host-parasite interaction in men from Gothenburg with community-acquired febrile UTI. The results are discussed in the light of other similar studies and related to findings in women. Contrary to the traditional view, men and women with febrile UTI have very similar infecting bacterial species, host predispositions and treatment results. However, virulence expression differs in the infecting Escherichia coli in both sexes, besides the overt anatomical distinction including having a prostate.