The role of Chlamydia trachomatis in prostatitis

Weidner, W.; Diemer, T.; Huwe, P.; Rainer, H.; Ludwig, Martin

doi:10.1016/s0924-8579(02)00094-8

Cited by 72 publications

(57 citation statements)

References 29 publications

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“…Their contagion, with the exception of the Chlamydia pneumonia, represents the major common cause of sexually transmitted diseases (STDs) within the European countries and other countries worldwide, causing severe ocular (5,12,24) and other numerous urogenital clinical manifestations in both genders (5,25,26). Chlamydia pneumonia transmission can be recognized and grouped as STDs, if we included it as a sexual oral mucosal surface contamination, on the same level as oro-faecal and gastro-intestinal contaminations by Helicobacter, Campylobacter, Yersinia, Shigella, Salmonella and E. coli (enterpathogen strains) groups, which enter the body through the mucosal surfaces (27).…”

Section: Discussionmentioning

confidence: 99%

Jugulodigastric Lymph Node Inflammation Derived from Chronic Atypical Oropharyngeal Phlogosis Recurring Annually after Flu Virus Vaccination: A Holistic Vision and a Clinical Case Solved after Chlamydicidal Antibiotic Therapy

Neri

Boccio

Pennelli

et al. 2012

Int J Immunopathol Pharmacol

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In this report, we evaluated the case history of a patient with longstanding chronic pharyngitis who had periodic clinical manifestation for three years after a flu vaccine administration, and after various treatments tried to resolve the chronic pharyngitis with unsuccessful antibiotic and anti-inflammatory therapies. The patient occasionally presented a slight ocular inflammation, while dysuria occurred after sexual activity. The search for common pathogens by use of pharyngeal swabs resulted only in Corynebacterium ulcerans growth. After this first result, we focused our investigations on ocular and uro-genital infections of Chlamydiaceae (Ct and Cp) and Mycoplasmataceae (Mh and Uu) families. We examined the patient's pharynx using molecular and culture techniques from three different sites. Although several infectious agents, including viruses and bacteria, causing chronic pharyngitis are reported in the literature, these ocular and uro-genital pathogens are seldomly routinely investigated in the same patient in ORL. Furthermore, while episodes of chronic pharyngitis is one ofthe most common clinical manifestation in ENT patients, these atypical pharyngitis represent ever-increasing infections which must always be considered and researched by suitable instruments such as PCR. Only from the collection of detailed medical history and careful observations of clinical manifestation, indicative of an oral chronic pathologic phenomenon of low intensity initiated several years previously, starting with sudden outbreak and relapse like a bout of flu', we suggest to study these atypical infecting agents frequently localized in the urogenital human area, awhich would allow to highlight and to recognize these clinical cases that manifest themselves as chronic inflammation of jugulodigastric lymph nodes, remaining still unrecognized and rarely associated to chlamydial infection, confused with the response to flu vaccination. After several specific cycles of antibiotic therapy, the patient's health improved considerably and showed almost complete regression of jugulodigastric lymph node inflammation.

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Section: Discussionmentioning

confidence: 99%

Jugulodigastric Lymph Node Inflammation Derived from Chronic Atypical Oropharyngeal Phlogosis Recurring Annually after Flu Virus Vaccination: A Holistic Vision and a Clinical Case Solved after Chlamydicidal Antibiotic Therapy

Neri

Boccio

Pennelli

et al. 2012

Int J Immunopathol Pharmacol

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“…A further localization and culture series by Krieger and associates (Krieger et al, 2000) also failed to culture chlamydia from either urethral or prostate specimens. Further elucidation of the role of chlamydial etiology of prostate infection is required to make any definitive statement on the association between isolation of this organism and its prostatic origin and effect (Weidner et al, 2002). In the follow-up of standardized prostatitis patients, a combination of urological tests in EPS and seminal plasma combined with genital chlamydial DNA material, may further elucidate the chlamydial aetiology of prostate infection.…”

Section: Chronic Prostatitismentioning

confidence: 99%

Chlamydial Infection in Urologic Diseases

Lee¹,

Lee²

2012

Chlamydia

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“…Diversi autori hanno ipotizzato che C.t. possa essere uno degli agenti causali, ma mentre il suo ruolo nella patogenesi di uretriti e epididimiti è ben documentato, il suo ruolo nelle prostatiti è ancora oggi dibattuto e rimane controverso, in quanto i campioni utilizzati per la diagnosi (secrezioni prostatiche, urine dopo massaggio prostatico, liquido seminale) possono riflettere una contaminazione uretrale per l'inevitabile passaggio attraverso l'uretra (39,125). Studi basati su quest'approccio diagnostico hanno comunque evidenziato C.t.…”

Section: Prostatitiunclassified

Genital Chlamydia trachomatis infections

Latino¹,

Maria²,

Caneparo³

et al. 2008

Microbiol Med

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BIOLOGIAChlamydia trachomatis (C.t.) è un parassita endocellulare obbligato che appartiene alla famiglia delle Chlamydiaceae comprendente due generi, Chlamydia e Chlamydophila, e nove specie. Di queste solo tre sono responsabili di infezioni nell'uomo: C. trachomatis, appartenente al genere Chlamydia e C. pneumoniae e C. psittaci appartenenti al genere Chlamydophila (10). Mentre le infezioni da C. pneumoniae e C. psittaci interessano prevalentemente l'apparato respiratorio, C.t. ha un particolare tropismo per l'epitelio genitale e congiuntivale. Sulla base delle differenze antigeniche, sono stati identificati diciannove serovars di C.t.: i serovars A, B, Ba e C sono responsabili di patologie a carico dell'occhio e sono associati al tracoma endemico, i serovars D, Da, E, F, G, Ga, H, I, Ia e K sono più comunemente associati ad infezioni del tratto genitale a trasmissione sessuale, alle congiuntiviti da inclusi o alle polmoniti neonatali, infine i serovars L1, L2, L2a e L3 sono associati al linfogranuloma venereo (14).Il parassitismo endocellulare obbligato è spiegato dal fatto che C.t., incapace di sintetizzare ATP, deve necessariamente utilizzare quello della cellula ospite. Il ciclo vitale di Chlamydia è di tipo dimorfico. La forma infettante è rappresentata dal corpo elementare (CE), di aspetto rotondeggiante e uniformemente denso al microscopio elettronico, in grado

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The role of Chlamydia trachomatis in prostatitis

Cited by 72 publications

References 29 publications

Jugulodigastric Lymph Node Inflammation Derived from Chronic Atypical Oropharyngeal Phlogosis Recurring Annually after Flu Virus Vaccination: A Holistic Vision and a Clinical Case Solved after Chlamydicidal Antibiotic Therapy

Jugulodigastric Lymph Node Inflammation Derived from Chronic Atypical Oropharyngeal Phlogosis Recurring Annually after Flu Virus Vaccination: A Holistic Vision and a Clinical Case Solved after Chlamydicidal Antibiotic Therapy

Chlamydial Infection in Urologic Diseases

Genital Chlamydia trachomatis infections

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