ABSTRACT
We present two cases of adolescents who presented with painless scrotal masses suggestive of testicular cancer. Diagnostic workup of both these patients revealed Chlamydia trachomatis and both patients were successfully treated with doxycycline. Both patients initially denied sexual activity. We suggest that a high index of suspicion is warranted in adolescent patients that present with asymptomatic scrotal masses and precise tests for C. trachomatis be done to rule out an infectious cause.
Subject(s)
Chlamydia Infections/diagnosis , Chlamydia trachomatis , Scrotum/microbiology , Adolescent , Anti-Bacterial Agents/therapeutic use , Chlamydia Infections/drug therapy , Chlamydia trachomatis/isolation & purification , Diagnosis, Differential , Doxycycline/therapeutic use , Genital Diseases, Male/diagnosis , Genital Diseases, Male/microbiology , Humans , Male , Safe Sex , Testicular Neoplasms/diagnosisABSTRACT
We tested 46 fully vaccinated children in two day-care centers in Israel who were exposed to a fatal case of pertussis infection. Only two of five children who tested positive for Bordetella pertussis met the World Health Organization's case definition for pertussis. Vaccinated children may be asymptomatic reservoirs for infection.
Subject(s)
Bordetella pertussis/isolation & purification , Child Day Care Centers , Pertussis Vaccine/immunology , Whooping Cough/epidemiology , Adolescent , Bordetella pertussis/immunology , Carrier State , Child , Child, Preschool , Disease Susceptibility , Family , Female , Humans , Immunoenzyme Techniques , Infant , Israel/epidemiology , Polymerase Chain Reaction , Whooping Cough/immunology , Whooping Cough/mortalityABSTRACT
The prevalence of various microorganisms known to cause nongonococcal urethritis, including herpes simplex virus (HSV), was evaluated. The findings suggest that HSV can be a significant etiological agent in nongonococcal urethritis (NGU) and that the necessary laboratory investigations should be performed for all patients with clinical symptoms of NGU.