Urinary-tract infection in sexually active homosexual men.
14 of 280 young, sexually active men with acute urinary symptoms had pronounced bacteriuria--13 with Escherichia coli and 1 with Staphylococcus saprophyticus. 12 of the 14 bacteriuric men were homosexual or bisexual, compared with 3 of 22 non-bacteriuric control patients. Pyuria and symptoms of cystitis were more common in the bacteriuric men, and these men frequently had a urethral discharge on examination, and non-gonococcal urethritis on gram stain of the discharge. The E coli strains causing cystourethritis in these men showed properties previously associated with acute-urinary-tract infection in women, including O serotype, haemolysin production, mannose-resistant haemagglutination of human erythrocytes, and P-fimbriation. Sexually active homosexual men are a newly identified group at increased risk of acute urinary-tract infection, and E coli may contribute to non-gonococcal urethritis in this population.
Barnes
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Daifuku
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Roddy
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Stamm
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D000208:Acute Disease; D000328:Adult; D001437:Bacteriuria / Q000453:epidemiology; D002690:Chlamydia Infections / Q000453:epidemiology; D002692:Chlamydia trachomatis; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000453:epidemiology; D006716:Homosexuality; D006801:Humans; D008297:Male; D008875:Middle Aged; D012725:Sexual Behavior; D014526:Urethritis / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000382:microbiology