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NEW BUG ON THE BLOCK
Is mycoplasma the new chlamydia? Ross and Jensen suggest that the evidence for Mycoplasma genitalium as a sexually transmitted pathogen is virtually incontrovertible. This is based on both the concordance rates among partners, and on DNA typing showing the same sequence type among partners in contrast with unrelated M. genitalium positive patients. The implication of this for the screening, testing, and treatment of patients is, however, less certain. Which tests are the most sensitive and specific, what samples are most appropriate, who should be tested, what treatment is best and how should partners be managed? See p 269
To underline the importance of mycoplasma, we publish a study of men with persistent or recurrent urethritis, 41% of whom were found to have M. genitalium. Doxycycline and erythromycin appeared to be less efficient than azithromycin in eradicating the infection. See p 276
HEPATITIS C AND HIV
There is growing concern about …