[Gonorrheal urethritis--frequently a mixed Chlamydia and Mycoplasma infection. Results in 143 male patients with acute gonorrhea]. / Gonorrhoische Urethritis--häufig eine Mischinfektion mit Chlamydien und Mykoplasmen. Untersuchungsergebnisse bei 143 männlichen Patienten mit akuter Gonorrhoe.

Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma hominis are frequently demonstrated in cases of acute gonorrhoeic urethritis. Among 143 males (average age 22.5 years) Chlamydia was demonstrated in 29%, U. urealyticum in 34% and M. hominis in 13%. Penicillin treatment of gonorrhoea does not affect Chlamydia and Mycoplasma so that these organisms will persist in the lower urogenital tract. Generally postgonorrhoeic urethritis is associated with Chlamydia or Mycoplasma infection. Nearly all patients were cured by tetracyclin or erythromycin administration. Incidence and complications of gonorrhoea co-infected with Chlamydia and Mycoplasma should be taken into account in its diagnosis and treatment.

The importance and frequency of mixed infections with Chlamydia trachomatis and mycoplasmas in acute gonococcal urethritis.

Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma hominis are frequently involved in gonococcal urethritis. We investigated 143 male White and Black patients with gonococcal urethritis (average age 22,5 years). Of these 29% had coexisting Chlam. trachomatis infection, 34% U. urealyticum infection and 13% Mycoplasma hominis infection. Conventional penicillin therapy did not affect Chlam. trachomatis, U. urealyticum or Mycoplasma hominis, which persisted in the lower urogenital tract, causing a so-called 'post-gonococcal urethritis.' Additional therapy with tetracycline or erythromycin was successful in most cases.