Nilsson S, Johannisson G, Lycke E
Scand J Infect Dis Suppl. 1982;32:173-6.
Prostatitis and epididymitis, which are the most common complications of urethritis in men below 35 years of age, may be associated with Chlamydia trachomatis infection. Chlamydiae have been isolated from expressed prostatic fluid in men with urethritis complicated by prostatitis and from the epididymis in men with acute epididymitis. Tetracyclines are effective treatment for genital chlamydial infections, including those affecting the accessory genital glands. Two 7-day courses of lymecycline, separated by a 10-day interval, eradicated C. trachomatis from 26 men with prostatitis and genital chlamydial infection. With erythromycin, results of treatment were unsatisfactory. Since acute prostatitis carries a risk of chronic infection, and since epididymitis, in particular, may lead to reduced fertility, prompt antibiotic treatment should be administered to patients with either of these two conditions.
前列腺炎和附睾炎是35岁以下男性尿道炎最常见的并发症，可能与沙眼衣原体感染有关。在患有前列腺炎并发症的尿道炎男性的前列腺液中以及患有急性附睾炎的男性的附睾中都分离出了衣原体。四环素是治疗生殖器衣原体感染的有效药物，包括那些影响附属生殖腺的感染。两个7天疗程的赖甲环素，间隔10天，使26例患有前列腺炎和生殖器衣原体感染的男性的沙眼衣原体被根除。使用红霉素治疗效果不理想。由于急性前列腺炎有慢性感染的风险，特别是附睾炎可能导致生育能力下降，因此对于患有这两种疾病之一的患者应及时给予抗生素治疗。
