このエントリーをはてなブックマークに追加
ID 30742
JaLCDOI
フルテキストURL
著者
Tajiri, Takuma Showa University Hospital
Tate, Genshu Showa University
Iwaku, Takeshi Showa University, Tokyo
Takeyama, Nobuyuki Showa University
Fusama, Shigeyoshi Yokohama Asahi Chuo Hospital
Sato, Shuichi Yokohama Asahi Chuo Hospital
Kunimura, Toshiaki Showa University, Tokyo
Mitsuya, Toshiyuki Showa University
Morohoshi, Toshio Showa University
抄録
Right pleural effusion was diagnosed in a 36-year-old woman with right upper quadrant pain and fever. Enhanced pelvic computed tomography performed because of irregular genital bleeding revealed the pelvic inflammatory disease. Upon further questioning, the patient confirmed that she had recently undergone therapy for Chlamydia trachomatis infection. Therefore she was given an injection of tetracycline because we suspected Fitz-Hugh-Curtis syndrome (FHCS), a pelvic inflammatory disease characterized by perihepatitis associated with chlamydial infection. A remarkable clinical response to antibiotics was noted. The right upper quadrant pain was due to perihepatitis, and the final diagnosis was FHCS. Right pleural effusion may be caused by inflammation of the diaphragm associated with perihepatitis. Once chlamydial infection reaches the subphrenic liver, conditions in the closed space between the liver and diaphragm due to inflammatory adhesion may be conductive to chlamydial proliferation. The possibility of FHCS should be considered in patients and carefully distinguished from other abdominal diseases.
キーワード
perihepatitis
right pleural eff usion
Fitz-Hugh-Curtis syndrome
chlamydial infection
pelvic inflammatory disease
Amo Type
Article
発行日
2006-10
出版物タイトル
Acta Medica Okayama
60巻
5号
出版者
Okayama University Medical School
開始ページ
289
終了ページ
294
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT