ABSTRACT
(1) Background: Sexually Transmitted Infections (STIs) in men are a significant public health problem due to the consequences they can have, such as chronic diseases, infertility, cancer, and even death. This study aimed to determine the frequency of microorganisms associated with STIs in men with urethritis attending urology consultations, and to explore their clinical correlations. (2) Methods: A population that attended the urology consultation of the University Hospital "Dr. José E. González" was studied. Written consent was obtained, and interviews and clinical history were conducted about specific risk factors identifying signs and symptoms associated with any genitourinary condition; after that, urine samples were collected. Identification of C. trachomatis, N. gonorrhoeae, U. urealyticum, and M. genitalium was based on amplifying species-specific DNA fragments. (3) Results: A total of 200 patients were included. The mean age was 55 years (20-95). According to the interviews, only 32.5% (n = 65) had received prior sex education. Additionally, 75% (n = 150) do not usually use any protection during sexual intercourse. Regarding clinical factors, 69.4% (n = 138) presented burning or pain when urinating. Molecular analysis revealed the presence of C. trachomatis to be 9.5% (n = 19), with U. urealyticum at 13% (n = 26), and M. genitalium at 2% (n = 4). (4) Conclusions: This is the most extensive molecular epidemiological study of the frequency of STIs in men in Mexico in third-level care and its association with different risk factors. As reported globally, a similar frequency of C. trachomatis, U. urealyticum, and M. genitalium was detected.
ABSTRACT
El Síndrome del Túnel del Carpo ( STC) es una neuropatía compresiva sintomática del nervio mediano a nivel de la muñeca que forma parte de las enfermedades más comunes de la extremidad superior. El médico debe de tomar en cuenta el reconocimiento de los signos y síntomas además de pruebas físicas y de laboratorio. El túnel carpiano está compuesto por un canal óseo, formado por huesos del carpo, cuyo techo es el ligamento transverso del carpo, fibroso pero rígido. El túnel contiene nueve tendones flexores y el nervio mediano. Se han descrito la forma de presentación aguda y la crónica del STC. Siendo la aguda aquella relacionada con un aumento rápido de la presión en el túnel del carpo que puede ser debida a traumatismos, edema, infección local, coagulopatías e inyecciones. La presentación crónica es la mas común y se debe a causas locales, regionales y sistémicas. Aunque se considera como la neuropatía periférica más común, se desconoce su prevalencia, su etiología es multifactorial, presentándose con mayor frecuencia en trabajadores que realizan trabajos con las manos, afectando su rendimiento laboral y calidad de vida con la consecuente pérdida económica de los centros de trabajo y las instituciones de salud.
