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Fitz-Hugh-Curtis syndrome; Gonococcal/Chlamydia perihepatitis
Etiology:
- complication of pelvic inflammatory disease
- Chlamydia trachomatis
- Neisseria gonorrhoeae
Epidemiology:
- rare
- occurs almost exclusively in women
Pathology:
- peritonitis
- perihepatitis
Clinical manifestations:
- fever, chills, headaches, malaise
- right upper quadrant abdominal pain
- pelvic adnexal tenderness
Laboratory:
- complete blood count (CBC): leukocytosis
- Chlamydia trachomatis DNA
- Neisseria gonorrhoeae DNA
- liver function tests generally unchanged from baseline
Special laboratory:
- cervical smear showing Neisseria gonorrhoeae
Radiology:
- abdominal ultrasound generally normal
Complications:
- abdominal adhesions
Management:
- treat underlying infection
- ceftriaxone plus azithromycin
- doxycycline, oflaxacin, metronidazole
- laparoscopy for lysis of adhesions
General
syndrome
References
- Fitz Hugh Curtis Syndrome
National Organization for Rare Disorders (NORD)
https://rarediseases.org/rare-diseases/fitz-hugh-curtis-syndrome/
- Wikipedia: Fitz-Hugh-Curtis syndrome
https://en.wikipedia.org/wiki/Fitz-Hugh%E2%80%93Curtis_syndrome
- Medical Knowledge Self Assessment Program (MKSAP) 19
Board Basics. An Enhancement to MKSAP19.
American College of Physicians, Philadelphia 2022