A 43-year-old cisgender man with HIV is evaluated in urgent care for left-sided testicular pain and fever. He denies trauma to the genital region. He reports condomless anal intercourse with 2 partners in the past month. On physical examination, the left epididymis is exquisitely tender, with some testicular swelling. A first-void urine sample reveals 17 white blood cells and positive leukocyte esterase. Results from urine culture and nucleic acid amplification testing (NAAT) for sexually transmitted infections are pending. A presumptive diagnosis of epididymitis is made based on clinical findings.
Which one of the following groups of organisms includes the pathogens most often identified as causing acute epididymitis in men who have sex with men?
Figure 1. Epididymitis
Illustration by Jared Travnicek, Cognition Studio
Figure 2. Testicular Torsion
Illustration by Jared Travnicek, Cognition Studio
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Question Last Updated
September 29th, 2023
September 29th, 2023
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