日本性感染症学会誌 Journal of Japanese Society for Sexually Transmitted Infections

Online ISSN: 2434-2505 Print ISSN: 0917-0324
日本性感染症学会 Japanese Society for Sexually Transmitted Infections
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Japanese Society for Sexually Transmitted Infections Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Japanese Journal of Sexually Transmitted Infections 33(1): 1-4 (2022)
doi:10.24775/jjsti.C-2022-0002

症例報告症例報告

クラミジア性精巣上体炎治療により閉塞性無精子症の改善を認めた一例A case of improved obstructive azoospermia after treating chlamydial epididymitis

1神戸大学医学部附属病院泌尿器科Department of Urology, Kobe University Graduate School of Medicine

2神戸大学医学部国際保健学パブリック領域Department of Public Health, Kobe University Graduate School of Health Scinence

受付日:2022年6月3日Received: June 3, 2022
受理日:2022年9月6日Accepted: September 6, 2022
発行日:2022年11月16日Published: November 16, 2022
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A 22-year-old man was referred to our institution due to bilateral intrascrotal masses and a suspected testicular tumor. A magnetic resonance imaging scan revealed bilateral epididymitis; moreover, the polymerase chain reaction test was positive for chlamydia. Therefore, the patient was diagnosed with bilateral chlamydial epididymitis. A semen analysis prior to treatment revealed azoospermia and obstructive azoospermia due to chlamydial epididymitis. Subsequently, antibiotic treatment improved the epididymitis and semen findings. Chlamydial epididymitis has been reported to progress bilaterally with a chronic course due to mild symptoms, and has been known to cause narrowing of the seminal ducts, resulting in obstructive azoospermia; however, epidemiological data are still insufficient. In this study, we present a case report of obstructive azoospermia caused by chlamydial epididymitis with a literature review.

Key words: obstructive azoospermia; chlamydial epididymitis

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