MycoplasmenurethritisN34.2
Synonym(s)
Urethritis due to mycoplasma
DefinitionThis section has been translated automatically.
Non-specific urethritis caused by mycoplasma.
PathogenThis section has been translated automatically.
Urogenital mycoplasma:
- Ureaplasma urealyticum (60%)
- Mycoplasma hominis (20%)
- Mycoplasma genitalium (15%)
- Mycoplasma fermans (3%)
Clinical featuresThis section has been translated automatically.
Serous urethral fluoride, possible fever.
LaboratoryThis section has been translated automatically.
Sterile leukocyturia, acidic pH in the urine.
DiagnosisThis section has been translated automatically.
Cultural pathogen detection (e.g. on mycoplasma agar according to Blenk/Hofstetter), antibody detection in serum
Complication(s)This section has been translated automatically.
Infection of the male adnexa.
General therapyThis section has been translated automatically.
Drink a lot, especially mildly disinfecting bladder tea (e.g. mixed teas made from bearberry, Hauhechel root, birch leaves, etc.)
Internal therapyThis section has been translated automatically.
- For uncomplicated infection with Mycoplasma genitalium: Azithromycin 500 day 1, then 250 mg day 2-5. For treatment failure or complicated infection Moxifloxacin 400 mg 1 x tgl 7-14 days, 3rd choice due to resistance Doxycycline (e.g. Doxycycline Heumann 100) 2 times/day 100 mg for 7-10 days.
- For infection with Ureaplasma urealytic: doxycycline (e.g. Doxycyclin Heumann 100) 2 times/day 100 mg for 7-10 days. Alternatively: Ofloxacin (e.g. Tavanic 200 Filmtbl.) 2 times/day 200 mg for 7 days or Erythromycin (e.g. Erythromycin Stada) 3 times/day 500 mg for 10 days.
- Partner treatment!
Caveat. Because of the cell wall-less nature of mycoplasmas, there is resistance to cell wall-active antibiotics (e.g., penicillins, cephalosporins) and cell wall-active enzymes. Approximately 10% of ureaplasmas are resistant to tetracyclines, 40% of which are also simultaneously resistant to erythromycin.
LiteratureThis section has been translated automatically.
- Dupin N et al (2003) Detection and quantification of Mycoplasma genitalium in male patients with urethritis. Clin Infect Dis 37: 602-605
- Gall H et al (1999) Pathogen spectrum of urethritis in the man. dermatologist 50: 186-193
- Janier M et al (1995) Male urethritis with and without discharge - a clinical and microbiological study. Sexually transmitted diseases. 22: 244–252
- Mena L et al (2002) Mycoplasma genitalium infections in asymptomatic men and men with urethritis attending a sexually transmitted diseases clinic in New Orleans. Clin Infect Dis 35: 1167-1173
- Taylor-Robinson D (1995) The history and role of mycoplasma genitalium in sexually transmitted diseases. Genitourin Med 71: 1-8
- Taylor-Robinson D et al (2003) Detection of several Mycoplasma species at various anatomical sites of homosexual men. Eur J Clin Microbiol Infect Dis 22: 291-293