In heterosexual men, the most common cause of epididymitis is (are):
A. E. coli
B. Neisseria gonorrhoeae
C. Chlamydia trachomatis
D. B & C
ANS: D
The inflammation of the epididymis is caused by the spread of an infection from the bladder or urethra, owing to an alteration in the urethral closure mechanism. In heterosexual men younger than 35, the causative organisms are likely to be Neisseria gonorrhoeae and Chlamydia trachomatis. In homosexual men, the causative organism is usually Escherichia coli. In cases in which an organism associated with a sexually transmitted disease (STD) is suspected, the exposure to the organism can significantly predate the development of epididymitis.
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