How is Mycoplasma genitalium infection treated in men?

The so-called mycoplasma, medically speaking, is the smallest microorganism, it lives outside the cell, regardless of its status, but once infected, it may cause more serious diseases.In life, the genitals of male friends may be infected with mycoplasma, which can affect their sex life. So, what should be used to treat Mycoplasma genitalium infection in men?

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Early use of appropriate antimicrobials may reduce symptoms and shorten the duration of the disease. The disease is self-limiting, and most cases resolve without treatment. Macrolide antimicrobials such as erythromycin, roxithromycin, and azithromycin are preferred. Fluoroquinolones such as levofloxacin, gatifloxacin and moxifloxacin, tetracyclines are also used in the treatment of Mycoplasma pneumoniae pneumoniae. The course of treatment is generally 2~3 weeks. Because Mycoplasma pneumoniae does not have a cell wall, antimicrobial drugs such as penicillin or cephalosporins are ineffective. For those who choke violently, antitussive drugs should be given appropriately. If secondary bacterial infection occurs, targeted antimicrobial therapy can be selected according to the sputum etiological examination.

The disease is self-limited, most cases resolve spontaneously without treatment, and the use of appropriate antimicrobial drugs can reduce symptoms and shorten the duration of the disease.

Treatment is erythromycin of choice, but tetracyclic antibiotics may also be used. Early use of appropriate antibiotics can reduce symptoms and shorten the course of the disease to 7~10 days.

Clinical presentation

1. Genitourinary tract infection

Genitourinary tract infection: the incubation period is 1~3 weeks, the typical acute phase symptoms are similar to other non-gonorrhea genitourinary tract infections, manifested as urethral tingling, different degrees of urgency and frequency, stinging pain, especially when the urine is more concentrated, the urethral opening is mildly red and swollen, the discharge is thin, the amount is small, it is serous or purulent, and the urethra needs to be squeezed hard to see the discharge overflow, often in the morning, there is a small amount of mucous discharge or only a scab seal at the urethral opening, or see the dirty crotch, In the subacute phase, prostate infection is often present, and patients often have perineal pain, backache, and discomfort on the medial thighs of both thighs, or a tingling sensation that radiates from the perineum to the medial thigh when doing levator anal maneuvers.

When the infection spreads to the urethra, frequent urination and urgency are the main symptoms that attract the attention of patients, the infection is confined to the cervix, manifested as increased vaginal discharge, turbidity, cervical edema, congestion or superficial erosion, and the infection spreads to the urethra as a manifestation of flushing and congestion of the urethra, and a small amount of discharge can overflow when the urethra is squeezed, but tenderness rarely appears.

2. Respiratory tract infections

The onset is slow, the incubation period is 2~3 weeks, and there is general malaise, fatigue and headache at the beginning of the disease. After 2~3 days, the body temperature often reaches about 39 °C, which can last for 1~3 weeks, and can be accompanied by sore throat and muscle aches.

Cough is a prominent symptom of the disease, generally starting 2~3 days after the disease, at first dry cough, and then turning into intractable severe cough, often with viscous sputum with occasional bloodshots, a few cases can be similar to whooping cough.It can last for 1~4 weeks. Pulmonary signs are often subtle or absent. A few can hear dry and wet music. However, many patches disappear, so the signs are inconsistent with clinical manifestations such as severe cough and fever, which is one of the characteristics of this disease. Infants and young children have a rapid onset, a long course of disease, and a more severe disease, manifested as dyspnea, wheezing, and more prominent stridor sounds, and more pulmonary rales than older children. Some children may have hemolytic anemia, meningitis, myocarditis, Guillain-Leain's syndrome and other extrapulmonary manifestations.