Diagnostic challenge of chlamydial Fitz‐Hugh‐Curtis syndrome and cervicitis complicated by appendicitis: Case report

Diagnostic challenge of chlamydial Fitz‐Hugh‐Curtis syndrome and cervicitis complicated by appendicitis: Case report

Abstract Our patient had appendicitis complicated by Chlamydia trachomatis‐induced Fitz‐Hugh‐Curtis syndrome and cervicitis. Differential diagnosis was challenging. A 22‐year‐old Japanese woman was febrile and presented with vomiting and subsequent abdominal pain. She had unprotected sexual intercou...

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Bibliographic Details
Main Authors: Naoto Ishimaru, Yohei Kanzawa, Takahiro Nakajima, Hiroyuki Seto, Masayuki Ando, Saori Kinami
Format: Article
Language:English
Published: Wiley 2021-09-01
Series:Journal of General and Family Medicine
Subjects:
appendicitis
Carnett's sign
Fitz‐Hugh‐Curtis syndrome
pelvic inflammatory disease
Online Access:https://doi.org/10.1002/jgf2.446
Description
Summary:Abstract Our patient had appendicitis complicated by Chlamydia trachomatis‐induced Fitz‐Hugh‐Curtis syndrome and cervicitis. Differential diagnosis was challenging. A 22‐year‐old Japanese woman was febrile and presented with vomiting and subsequent abdominal pain. She had unprotected sexual intercourse with multiple partners. She had high Alvarado score and lack of cervical motion pain, despite cervical inflammation. Noncontrast CT showed enlarged appendix. Laparoscopic appendectomy revealed acute suppurative appendicitis and perihepatic adhesion. Cervical PCR assay was positive for C. trachomatis. She remained febrile but defervesced after azithromycin therapy. Clinicians should confirm whether females with abdominal pain are sexually active in view of screening for C. trachomatis.
ISSN:2189-7948

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