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Urology (Expert Forum)
Fear of Reactive Arthritis Outbreak
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Henry Ford Hospital
West Bloomfield - MI
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Fear of Reactive Arthritis Outbreak
by Walter299, Apr 03, 2008 08:59AM
I made the grave mistake of having unprotected sex for the first time in five years since having a bad case of reactive arthritis in response to a non-specific urethritis.
10 hours after intercourse, I went to a clinic for a pre-emptive course of antibiotics to do my outmost to ensure no infection (shot of cefriaxone and 4 pills in one day of azithromycin).
My question: was this potentially too soon to kill any infections? Five days later, I am feeling anxious and slightly sensitive at the back of my urethra near the bladder (though maybe reading too much into this). Is there any harm of doing another course of antiobiotics? And if so, what would be best?
Many, many thanks for your thoughts
10 hours after intercourse, I went to a clinic for a pre-emptive course of antibiotics to do my outmost to ensure no infection (shot of cefriaxone and 4 pills in one day of azithromycin).
My question: was this potentially too soon to kill any infections? Five days later, I am feeling anxious and slightly sensitive at the back of my urethra near the bladder (though maybe reading too much into this). Is there any harm of doing another course of antiobiotics? And if so, what would be best?
Many, many thanks for your thoughts
Doctor's Answer
by Stephen Liroff, MD, Apr 04, 2008 08:12PM
, Apr 04, 2008 08:12PM
You did a good thing by being proactive and getting antibiotic therapy. I do not see a place for further treatment at this time. You can only wait and see if anything further develops. I do think that you can be "too soon" in treating a possible infection. You may have prevented one altogether. As you know, reactive arthritis can be recurrent but is not necessarily related to infection. You''ll need to wait a month or so before knowing that you are not going to have a recurrence. If you are HLA-B27 positive (determined via a blood test) then your chances of recurrence are higher than others.
Hope this helps. I won't give my safe sex lecture. You obviously know the answers.
Hard to keep lust in check, isn't it?
I wish you well.
S.A.Liroff, M.D.
This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition
Hope this helps. I won't give my safe sex lecture. You obviously know the answers.
Hard to keep lust in check, isn't it?
I wish you well.
S.A.Liroff, M.D.
This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition
