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Acute Urethritis in Male College Students
John A. McChesney, MD;
Arnold Zedd;
Harry King;
C. M. Russell, PhD;
J. Owen Hendley, MD
JAMA. 1973;226(1):37-39.
Abstract
The cause of acute urethritis was studied prospectively in an unselected group of 62 male university students. Urethral exudate and urine samples were cultured for Neisseria gonorrheae and T-mycoplasmas, and the results were compared with findings in a similar group of 70 healthy controls. Only 8% of the patients were found to have gonorrhea by culture. Of the remaining 57 patients with nongonococcal urethritis, 76% were positive for T-mycoplasmas while 27% of 70 controls were carrying the organism. Symptoms in patients with nongonococcal urethritis cleared during therapy with tetracyclines or erythromycin, and posttherapy cultures for T-mycoplasmas showed only a 28% carriage rate.
Nongonococcal urethritis was much more common than gonorrhea in this student population, in spite of the epidemic of gonorrhea occurring in the United States. In addition, the view that T-mycoplasmas may be a cause of nongonococcal urethritis was supported by this study.
Author Affiliations
From the departments of internal medicine (Dr. McChesney and Messrs. Zedd and King) and pediatrics (Dr. Hendley), and the Bacteriology Laboratory (Dr. Russell), University of Virginia School of Medicine, Charlottesville. Dr. McChesney is now at the University of California Medical Center, San Francisco.
Footnotes
Reprint requests to Division of Ambulatory and Comprehensive Care, University of California Medical Center, Third and Parnassus, San Francisco 94143 (Dr. McChesney).
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ABSTRACT
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