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Chlamydia trachomatis Fitz-Hugh-Curtis Syndrome Without Salpingitis in Female Adolescents FREE

Debra K. Katzman, MD; Ira M. Friedman, MD; Catherine A. McDonald, MD, MPH; Iris F. Litt, MD
[+] Author Affiliations

Accepted for publication May 16, 1988.

Reprint requests to the Division of Adolescent Medicine, Children's Hospital at Stanford, 520 Sand Hill Rd, Box 54, Palo Alto, CA 94304 (Dr Katzman).


Am J Dis Child. 1988;142(9):996-998. doi:10.1001/archpedi.1988.02150090094033.
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• We encountered seven female adolescents with the Fitz-Hugh-Curtis syndrome and no signs or symptoms of salpingitis. Six of the patients had cervical cultures positive for Chlamydia trachomatis. The Fitz-Hugh-Curtis syndrome should be included in the differential diagnosis of right-sided abdominal pain in the sexually active female adolescent to avoid unnecessary diagnostic procedures and to reduce the prevalence of chlamydial infection and its complications.

(AJDC 1988;142:996-998)

REFERENCES

Curtis AH:  A cause of adhesions in the right upper quadrant . JAMA 1930;;94:1221-1222.
Link to Article
Stajano C:  La reaccioń freńica en ginecología . Semana Médica Buenos Airea 1920;;27:243-248.
Fitz-Hugh T:  Acute gonococcic peritonitis of the right upper quadrant in women . JAMA 1934;;102:2094-2096.
Link to Article
Mueller-Schoop JW, Wang S-P, Munzinger J, et al:  Chlamydia trachomatis as a possible cause of peritonitis and perihepatitis in young women . Br Med J 1978;;1:1022-1024.
Link to Article
Wang S-P, Eschenbach DA, Holmes KK, et al:  Chlamydia trachomatis infection in Fitz-Hugh Curtis syndrome . Am J Obstet Gynecol 1980;;1034-1038.
Darougar S, Forsey T, Wood JJ, et al:  Chlamydia and the Curtis-Fitz-Hugh syndrome . Br J Vener Dis 1981;;57:391-394.
Paavonen J, Saikku P, von Knorring J:  Association of infection with Chlamydia trachomatis with Fitz-Hugh Curtis syndrome . J Infect Dis 1981;;144:176.
Link to Article
Wood JJ, Bolton JP, Cannon SR, et al:  Biliary-type pain as a manifestation of genital tract infection: The Curtis-Fitz-Hugh syndrome . Br J Surg 1982;;69:251-253.
Link to Article
Dalaker K, Gjonnaess H, Kvile G:  Chlamydia trachomatis as a cause of acute perihepatitis associated with pelvic inflammatory disease . Br J Vener Dis 1981;;57:41-43.
Ris HW:  Perihepatitis (Fitz-Hugh-Curtis syndrome) . J Adolesc Health Care 1984;;5:272-276.
Link to Article
Eschenbach DA, Holmes KK:  Acute pelvic inflammatory disease: Current concept of pathogenesis, etiology and management . Clin Ob Gyn 1975;;18:35-56.
Link to Article
Smith MC:  Left upper quadrant presentation of Fitz-Hugh-Curtis syndrome in an adolescent . West J Med 1979;;130:7072.
Eschenbach DA:  Fitz-Hugh-Curtis Syndrome , in Holmes KK, Mardh P-A, Sparling PF, et al (eds): Sexually Transmitted Diseases . New York, McGraw-Hill International Book Co, 1984;, pp 633-638.
Paavonen J, Saikku P, von Knorring J, et al:  Association of infection with Chlamydia trachomatis with Fitz-Hugh-Curtis syndrome . J Infect Dis 1981;;114:176.
Link to Article
Darougar S, Forsey T, Wood JJ, et al:  Chlamydia and the Curtis-Fitz-Hugh syndrome . Br J Vener Dis 1981;;57:391-394.
Fransen L, Avants D, Piot P:  Genital chlamydial infection associated with perihepatitis (Fitz-Hugh-Curtis syndrome) . Acta Clin Belg 1982;;37:314-317.
Bolton JP, Darougar S:  Perihepatitis . Br Med Bull 1983;;39:159-162.
Simson JN:  Chlamydial perihepatitis (Curtis-Fitz-Hugh syndrome) after hydrotubation . Br Med J Clin Res 1984;;289:544-554.
Link to Article
Mardh PA, Moller BR, Paavonen J:  Chlamydial infection of the female genital tract with emphasis on pelvic inflammatory disease: A review of Scandinavian studies . Sex Transm Dis 1981;;8:140-155.
Link to Article
Kimball MW, Knee S:  Gonococcal perihepatitis in a male: The Fitz-Hugh-Curtis syndrome . N Engl J Med 1970;;2:1082-1084.
Link to Article
Wolner-Hansseen P, Westrom L, Mardh PA:  Perihepatitis and chlamydial salpingitis . Lancet 1980;;1:901-903.
Link to Article
Litt IF, Cohen MI:  Perihepatitis associated with salpingitis in adolescents . JAMA 1978;;240: 1253-1254.
Link to Article
Whitman PR, Rippberger CM, Schuck JM:  Gonococcal perihepatitis presenting as blunt abdominal trauma . Rocky Mt Med J 1975;;72:383-385.

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References

Curtis AH:  A cause of adhesions in the right upper quadrant . JAMA 1930;;94:1221-1222.
Link to Article
Stajano C:  La reaccioń freńica en ginecología . Semana Médica Buenos Airea 1920;;27:243-248.
Fitz-Hugh T:  Acute gonococcic peritonitis of the right upper quadrant in women . JAMA 1934;;102:2094-2096.
Link to Article
Mueller-Schoop JW, Wang S-P, Munzinger J, et al:  Chlamydia trachomatis as a possible cause of peritonitis and perihepatitis in young women . Br Med J 1978;;1:1022-1024.
Link to Article
Wang S-P, Eschenbach DA, Holmes KK, et al:  Chlamydia trachomatis infection in Fitz-Hugh Curtis syndrome . Am J Obstet Gynecol 1980;;1034-1038.
Darougar S, Forsey T, Wood JJ, et al:  Chlamydia and the Curtis-Fitz-Hugh syndrome . Br J Vener Dis 1981;;57:391-394.
Paavonen J, Saikku P, von Knorring J:  Association of infection with Chlamydia trachomatis with Fitz-Hugh Curtis syndrome . J Infect Dis 1981;;144:176.
Link to Article
Wood JJ, Bolton JP, Cannon SR, et al:  Biliary-type pain as a manifestation of genital tract infection: The Curtis-Fitz-Hugh syndrome . Br J Surg 1982;;69:251-253.
Link to Article
Dalaker K, Gjonnaess H, Kvile G:  Chlamydia trachomatis as a cause of acute perihepatitis associated with pelvic inflammatory disease . Br J Vener Dis 1981;;57:41-43.
Ris HW:  Perihepatitis (Fitz-Hugh-Curtis syndrome) . J Adolesc Health Care 1984;;5:272-276.
Link to Article
Eschenbach DA, Holmes KK:  Acute pelvic inflammatory disease: Current concept of pathogenesis, etiology and management . Clin Ob Gyn 1975;;18:35-56.
Link to Article
Smith MC:  Left upper quadrant presentation of Fitz-Hugh-Curtis syndrome in an adolescent . West J Med 1979;;130:7072.
Eschenbach DA:  Fitz-Hugh-Curtis Syndrome , in Holmes KK, Mardh P-A, Sparling PF, et al (eds): Sexually Transmitted Diseases . New York, McGraw-Hill International Book Co, 1984;, pp 633-638.
Paavonen J, Saikku P, von Knorring J, et al:  Association of infection with Chlamydia trachomatis with Fitz-Hugh-Curtis syndrome . J Infect Dis 1981;;114:176.
Link to Article
Darougar S, Forsey T, Wood JJ, et al:  Chlamydia and the Curtis-Fitz-Hugh syndrome . Br J Vener Dis 1981;;57:391-394.
Fransen L, Avants D, Piot P:  Genital chlamydial infection associated with perihepatitis (Fitz-Hugh-Curtis syndrome) . Acta Clin Belg 1982;;37:314-317.
Bolton JP, Darougar S:  Perihepatitis . Br Med Bull 1983;;39:159-162.
Simson JN:  Chlamydial perihepatitis (Curtis-Fitz-Hugh syndrome) after hydrotubation . Br Med J Clin Res 1984;;289:544-554.
Link to Article
Mardh PA, Moller BR, Paavonen J:  Chlamydial infection of the female genital tract with emphasis on pelvic inflammatory disease: A review of Scandinavian studies . Sex Transm Dis 1981;;8:140-155.
Link to Article
Kimball MW, Knee S:  Gonococcal perihepatitis in a male: The Fitz-Hugh-Curtis syndrome . N Engl J Med 1970;;2:1082-1084.
Link to Article
Wolner-Hansseen P, Westrom L, Mardh PA:  Perihepatitis and chlamydial salpingitis . Lancet 1980;;1:901-903.
Link to Article
Litt IF, Cohen MI:  Perihepatitis associated with salpingitis in adolescents . JAMA 1978;;240: 1253-1254.
Link to Article
Whitman PR, Rippberger CM, Schuck JM:  Gonococcal perihepatitis presenting as blunt abdominal trauma . Rocky Mt Med J 1975;;72:383-385.

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