UNSPECIFIC EPIDIDYMITIS
1957 Volume 48 Issue 8 Pages 665-670
Details
1957 Volume 48 Issue 8 Pages 665-670
In 18 Cases of unspecific epididymitis in which Gonorrhoe were not clinically detectable and which were not tuberculous nor syphilitic, we made study of the dispositions and resistibility against antibiotic of the bacilli which were chiefly cultivated from the tissue fragments taken out of the most affected swelling parts with VIM-Silverman Biopsy Needles by steritized methods, and also made histological and clinical researches as well as observation of mechanism.
The results of the study are as fallows;
1) We had 23 strains from the 18 Cases. Of the 18 cases, 11 were single infection, 5 mixed, 2 non-bacillar. In the last 2 cases, the patients received antibiotic treatments before the examination.
2) The bacilli of the strains were classified as 15 Staphylococci, 4 Corynebacterium, 1 Aerobacter, 1 Proteus, 1 Micrococci and 1 Candita.
3) Staphylococci was weak in infection force and sensible to such antibiotics as Oxytetracycline, Chlortetracycline and Chloramphenicol. However, 2 of the strains showed resistibility against Panicillin, 3 against Dihydro-streptomycin and the most against Sulfaisoxazol.
4) Although the tissue fragments were small from the histological point of view, we intended mostly to prove the cases unspecific. The microscopic examination showed unspecific and suppurative inflammation in general at the same time Endo-arthritis and 1 or Fibrose in some cases.
5) In the clinical diagnoses of the 18 Cases, 12 cases were acute, 11 were on left side epididymis and 1 was an both side epididymis. As for the combined disease, nongonorrhea urethritis was noticed only in 2 cases.
6) In 10 of the 18 cases the cause of the disease was unknown and 6 came after contusion. Considering the bacalli showed no particular disposition and were weak in infection force, we would like to believe that contusion was a cause which made epididymitis occure easily, inducing disordes in the circulation system of the blood, and lessening resistibility of the Organ.
7) Jndging from the that the most cases are those of staphylococci, it may be safely said that the bacilli are carried through liquid circulation. and so, we would like to give the most attention to the lymphatic gland along the vas deferens.
