Acute epididymitis and Chlamydia trachomatis

Prostatitis and epididymitis, which are the most common complications of urethritis in men below 35 years of age may be associated with Chlamydia trachomatis infection. Chlamydiae have been isolated from expressed prostatic fluid in men with urethritis complicated by prostatitis and epididymitis. Epididymitis seem to be an established complication of chlamydial urethritis particularly when urethritis is complicated with prostatitis. Since epididymitis may lead to reduced fertility, prompt antibiotic treatment using tetracyclines should be administered to patients with this condition.