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Fitz-Hugh-Curtis Syndrome - an Unexpected Diagnosis and the Importance of Prevention
Abstract
Full Text
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ARTICLE HISTORY
Received 1 September 2020
Accepted 6 December 2020
DOI:
https://doi.org/10.7199/ped.oncall.2021.17
CITE THIS ARTICLE
Urbano F, Duarte C M, Simão C, Águas B M, Azevedo A S d. Fitz-Hugh-Curtis Syndrome - an Unexpected Diagnosis and the Importance of Prevention. Pediatr Oncall J. 2020 Dec 06. doi: 10.7199/ped.oncall.2021.17
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CASE REPORTS
Fitz-Hugh-Curtis Syndrome - an Unexpected Diagnosis and the Importance of Prevention
Filipa Urbano
1
, Catarina Marques Duarte
1
, Carla Simão
2
, Bárbara Matos Águas
2
, A. Siborro de Azevedo
2
.
1
Department of Pediatrics, Santa Maria Hospital, Lisbon North Hospital and University Center, Lisbon,
2
General Pediatrics Unit of the Medical Pediatrics Service, Santa Maria Hospital, Lisbon North Hospital and University Center, Lisbon.
Show affiliations
Abstract
Fitz-Hugh-Curtis Syndrome refers to perihepatitis associated with female genital tract infection.
Chlamydia trachomatis
and
Neisseria gonorrhoeae
are the main etiological agents. A 17-year-old female presented with right abdominal pain for five days, radiating to the right shoulder associated with fever, vomiting and diarrhea. Blood tests revealed raised levels of inflammatory markers, GGT, amylase and lipase. Abdominal ultrasonography showed no abnormality but abdominal and pelvic CT demonstrated perihepatitis. The adolescent reported the practice of unprotected sex and etiological investigation revealed
N. gonorrhoeae
and
C. trachomatis
in urethral and vaginal discharge respectively. These findings were suggestive of Fitz-Hugh-Curtis Syndrome. She was treated with azithromycin and ceftriaxone and had marked clinical improvement.
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Disease A-Z
Health Topics
Alternative Medicine
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Genetics
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Neonatology
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View all topics
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Anal fissure
Skin allergies
Circumcision
Urticaria (hives) and angioedema
Anal itching
Anaphylaxis
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Renal Calculators
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Allergies
View all Drugs
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Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
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