Kristensen J K, Scheibel J H
Sex Transm Dis. 1984 Jan-Mar;11(1):32-3. doi: 10.1097/00007435-198401000-00008.
Sixteen patients aged 19-42 years and suffering from acute epididymitis were investigated. In twelve patients evidence of acute epididymitis developed without premonitory urethral symptoms. The only microbiologic finding for ten patients was Chlamydia trachomatis; both C. trachomatis and Neisseria gonorrhoeae were isolated from four patients. Two patients, who had recently had antibiotic treatment, harbored neither of these microorganisms. These observations indicate that C. trachomatis must be considered a dominant cause of acute epididymitis in the younger age groups. This fact has implications for the choice of treatment (erythromycin or tetracycline) and the investigations and treatment of sexual contacts.
对16例年龄在19至42岁之间的急性附睾炎患者进行了调查。12例患者急性附睾炎的症状出现前无前驱尿道症状。10例患者唯一的微生物学发现是沙眼衣原体；4例患者同时分离出沙眼衣原体和淋病奈瑟菌。2例近期接受过抗生素治疗的患者未检出这两种微生物。这些观察结果表明，沙眼衣原体必须被视为年轻人群体中急性附睾炎的主要病因。这一事实对治疗药物（红霉素或四环素）的选择以及性接触者的检查和治疗具有重要意义。
