Genitourinary mycobacteria in infertile Egyptian men.
Forty infertile patients with a preliminary diagnosis of genitourinary tuberculosis were selected for our study when they presented with one or more of the following: (1) personal or family history of tuberculosis, (2) sterile pyuria, (3) voiding urinary symptoms, (4) abnormality in the epididymis, (5) hemospermia, and (6) clinically unexplained obligoathenospermia. Direct smear examination by Ziehl-Neelsen stain for 24-hour urine and freshly ejaculated semen for 3 days as well as culture of midstream urine and semen were done on egg media. Urine smear was positive (+)ive in 20 patients (50%), culture was (+)ive in 23 (57.5%), whereas for semen smear was (+)ive in 3 (7.3%) and culture was (+)ive in 5 (20%). Tuberculous mycobacteria were detected in 5 of 23 cases (21.7%). Nontuberculous mycobacteria were detected in 18 of 23 cases (78.3%). Mycobacterium smegmatis was the most common mycobacterium isolated. There was improvement of the seminal picture, though not significant, after therapy.
Abdel Razic
M M
MM
Department of Dermatology and Andrology, Mansoura University Hospital, Egypt.
el-Morsy
F E
FE
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D004534:Egypt; D006801:Humans; D007248:Infertility, Male / Q000209:etiology* / Q000382:microbiology / Q000652:urine; D008297:Male; D008875:Middle Aged; D009161:Mycobacterium / Q000302:isolation & purification; D014401:Tuberculosis, Urogenital / Q000150:complications* / Q000188:drug therapy
D000995:Antitubercular Agents