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
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Amo Type | Article
|
出版物タイトル |
Acta Medica Okayama
|
発行日 | 2006-10
|
巻 | 60巻
|
号 | 5号
|
出版者 | Okayama University Medical School
|
開始ページ | 289
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終了ページ | 294
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ISSN | 0386-300X
|
NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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論文のバージョン | publisher
|
査読 |
有り
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PubMed ID | |
Web of Science KeyUT |