Clinically, four of these patients presented with urethritis, while one patient was under investigation for persistent genital ulcer. One patient had TV identified in a screening for STI, while asymptomatic, in the context of follow-up for human immunodeficiency virus (HIV) infection.In the remaining three cases of urethritis, concomitant infection with Neisseria gonorrhoeae was detected through PCR, and in one case, Chlamydia trachomatis was also found.These cases were resolved with standard treatment for urethritis with ceftriaxone and azithromycin.From our clinic, TV infection in men seems to be less frequent than in the published literature. 2,5 This is not related to diagnostic methods, as we routinely conduct multiplex PCR for STI diagnosis and screening.Simultaneous coinfection with Neisseria gonorrhoeae (3/6) and Chlamydia trachomatis (1/6) was frequent in this population, which is concordant with the published data.Our report confirms that TV may be a pathogen in male urogenital diseases, ranging from asymptomatic infection to recalcitrant urethritis. Multiplex PCR when routinely used for STI screening in men will identify those infected with TV. Directed treatment will reduce symptomatology, transmission to females, and ongoing morbidity.

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