2015, Número 1
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Rev Fac Med UNAM 2015; 58 (1)
Estudio retrospectivo en el diagnóstico de Mycoplasma y Ureaplasma en muestra seminal de 89 pacientes en la Ciudad de México
Góngora RA, González CC, Parra FLY
Idioma: Español
Referencias bibliográficas: 46
Paginas: 5-12
Archivo PDF: 297.67 Kb.
RESUMEN
Antecedentes: El
Mycoplasma hominis, Mycoplasma genitalium
y
Ureaplasma urealyticum son microorganismos que
se encuentran asociados a problemas reproductivos como
la enfermedad pélvica inflamatoria en mujeres y la uretritis
no gonocócica en hombres. Se han descrito alteraciones
vinculadas a la infección por estos microorganismos, en parámetros
reproductivos como la morfología espermática, el
índice de infertilidad y la subfertilidad en el hombre.
Objetivos: Determinar la incidencia de
Mycoplasma spp. y
Ureaplasma spp. en pacientes del Distrito Federal (México)
y evaluar las posibles correlaciones con sus resultados en la
espermatobioscopía.
Material y método: Estudio retrospectivo de 89 pacientes
positivos a
Mycoplasma y
Ureaplasma. Se analizaron los resultados
de la espermatobioscopía y se correlacionaron estadísticamente.
Resultados: Se obtuvo un aumento en el diagnóstico de
estos 2 microorganismos en un 15% en el primer semestre
del 2013 respecto al año 2012. Se encontraron diferencias
significativas (P ‹ 0.001) en la morfología espermática de
pacientes positivos a alguno de los 2 agentes.
Conclusiones: El
Mycoplasma y el
Ureaplasma se consideran
como flora normal del tracto genitourinario, aun así,
debe realizarse su diagnóstico en pacientes con historial de
fertilidad y subfertilidad y debe ser considerado cuando en
el espermograma informe de alteraciones morfológicas y
aumento del recuento de leucocitos
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