Successful Treatment of Mycoplasma genitalium Urethritis With High-Dose Tinidazole

Sex Transm Dis. 2025 Feb 1;52(2):e2-e4. doi: 10.1097/OLQ.0000000000002101.

Abstract

A 30-year-old male patient with symptomatic Mycoplasma genitalium urethritis failed treatment with oral azithromycin, 2-stage doxycycline-moxifloxacin, and minocycline. Molecular testing confirmed the presence of macrolide resistance mutations. Treatment with oral tinidazole 2 g daily for 7 days resulted in clinical and microbiologic cure.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents* / administration & dosage
  • Anti-Bacterial Agents* / therapeutic use
  • Humans
  • Male
  • Mycoplasma Infections* / drug therapy
  • Mycoplasma Infections* / microbiology
  • Mycoplasma genitalium* / drug effects
  • Mycoplasma genitalium* / genetics
  • Mycoplasma genitalium* / isolation & purification
  • Tinidazole* / administration & dosage
  • Tinidazole* / therapeutic use
  • Treatment Outcome
  • Urethritis* / drug therapy
  • Urethritis* / microbiology

Substances

  • Tinidazole
  • Anti-Bacterial Agents