Chlamydia trachomatisin ‘Abacterial’ P Prostatitis: Microbiological, Cytological and Serological Studies

Abstract

Chlamydia trachomatis was isolated from urethral swabs after prostatic massage in patients with 'abacterial' prostatitis. After exclusion of prostatic infections by gram-negative bacteria, enterococci and ureaplasmas, in 20 of 43 patients with apparent monoinfection by C. trachomatis, a leucocytal reaction was demonstrated in prostatic secretions. By microimmunofluorescence test, antibody titers greater than or equal to 1:8 against various types of C. trachomatis were detected in these patients, whereas serology was negative in chlamydia-positive patients without increased leucocyte counts (prostatodynia).

Antichlamydial antibodies and citric acid in patients with chronic prostatitis

“…In all cases the titers of IgA and IgM antibodies were low, while those of IgG were high in nearly half of the patients (46.7%). Similar or higher values of IgG antibodies were noted by Weidner et al [20] (40.5%) and Peeters et al [16] (49%), but lower were reported by Kojima et al [9] (7.5%) and Miyata et al [14] (29%). High titers of specific IgG antibodies as well as the presence of IgA antibodies in the serum provide evidence for an active, Chlamydia -induced pathological process.…”

Microbiology of the Prostate

“…Weidner et al [12] isolated Chlamydia from urethral swabs after prostatic massage in patients with Prostatitis is a common genitourinary disease in men. The National Institutes of Health has defined four types of prostatitis.…”

Role ofChlamydia trachomatisand Mycoplasmas in Chronic Prostatitis. A Review

“…We applied the localization protocol of the four-specimen technique [5] and combined quantitative determinations of microorganisms [1,7] plus quantitative cytologic analysis [13,14] plus, in chlamydial infections, serologic investigations [12].…”

“…We examined 233 men with signs and symptoms of chronic prostatitis [ 12]. In 43 patients (18.3%) C. tracho matis was isolated from EPS.…”