Question

A 23yo sexually active man is seen in the clinic with unilateral painful testicular swelling, and he is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand that which of these is the most common causative organism?

a. Escherichia coli
b. Staphylococcus aureus
c. Chlamydia trachomatis
d. Pseudomonas aeruginosa

Answer 1

The most common causative organism for epididymitis in a young sexually active man is Chlamydia trachomatis. It is essential for proper treatment to recognize this organism, which can lead to serious complications if left untreated.

Step-by-step explanation:

The most common causative organism for epididymitis, especially in a 23-year-old sexually active man, is Chlamydia trachomatis. Epididymitis is an inflammation of the epididymis, which can result in significant pain and swelling in the affected area, and is frequently seen in young men between the ages of 18 to 35. It is critical for proper treatment that the clinician recognizes Chlamydia trachomatis as a major cause of nongonococcal urethritis (NGU), which can also lead to epididymitis. Treatment typically includes appropriate antibiotics, with additional measures such as anti-inflammatory drugs and painkillers to manage symptoms, and it is important to address the infection promptly to prevent serious complications such as infertility.