Patient's question:
Detailed medical condition and consultation purpose: (Ureaplasma urealyticum) Three consecutive months of drug sensitivity culture did not detect mycoplasma. But why is the isotope test result positive for mycoplasma?Duration and persistence of the current illness: 4 months
Current general condition: Mild swelling at the urethral orifice; slight redness in the urethra, sometimes with slight discomfort in the penis
Medical history: Detailed medical condition and consultation purpose: (Ureaplasma urealyticum) Nongonococcal urethritis combined with prostatitis
Previous diagnoses, treatments, and outcomes:
Auxiliary tests: Isotope test, prostatic fluid test. Drug sensitivity growth + culture
Doctor's answer:
Ureaplasma is the smallest prokaryotic organism between bacteria and viruses, primarily residing in the human urogenital tract. Among them, Ureaplasma urealyticum (UU) is a type of Ureaplasma and becomes one of the important pathogens of sexually transmitted diseases when the body's immunity declines. It not only causes infections in reproductive organs such as the vagina and cervix but is also closely related to miscarriage, infertility, and intrauterine growth restriction of the fetus.The treatment for UU infection still primarily relies on antibiotics. Currently, the most commonly used drugs in clinical practice include tetracyclines, macrolides, and quinolones, with tetracyclines being the first-line treatment. Some studies have found that the number of drug-resistant strains of UU to tetracyclines and other drugs is increasing, but no strains resistant to all three drug classes have been identified, suggesting that a combination of two or three drugs may be most effective.