Open AccessDiagnostic challenge of chlamydial Fitz‐Hugh‐Curtis syndrome and cervicitis complicated by appendicitis: Case report
Author(s) -
Ishimaru Naoto,
Kanzawa Yohei,
Nakajima Takahiro,
Seto Hiroyuki,
Ando Masayuki,
Kinami Saori
Publication year - 2021
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.446
Subject(s) - medicine , abdominal pain , vomiting , appendix , chlamydia trachomatis , cervicitis , appendicitis , differential diagnosis , azithromycin , nausea , radiology , surgery , gynecology , general surgery , antibiotics , pathology , paleontology , microbiology and biotechnology , biology
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 .