Abstract：
Mycoplasma genitalium (MG) is a common cause of non-gonococcal urethritis, but a role in acute or chronic prostatitis has not been described. We describe the case of a 42-year-old man with recurrent urinary tract infections since 2018 who developed chronic prostatitis despite several and prolonged antibiotic courses. Multiparametric prostatic magnetic resonance showed peripheral inflammatory alterations. A 4-glass Meares-Stamey test detected MG in the third voided bladder (VB3) sample. Moxifloxacin 400 mg daily for 28 days resulted in sustained clinical and microbiological cure.
摘要：
生殖支原体（MG）是非淋菌性尿道炎的常见原因，但在急性或慢性前列腺炎中的作用尚未被描述。我们描述了一名自2018年以来复发性尿路感染的42岁男子的病例，尽管有几个和延长的抗生素疗程，他还是发展为慢性前列腺炎。多参数前列腺磁共振显示外周炎症改变。4-glassMeares-Stamey测试检测到第三膀胱（VB3）样品中的MG。莫西沙星每天400毫克，持续28天，可实现持续的临床和微生物学治愈。
