Ducroix J P, Smail A, Eb F, Gondry J, Boulanger J C, Baillet J
Service de Médecine Interne, Hospitalier Régional, d'Amiens.
Ann Med Interne (Paris). 1988;139(1):15-8.
Fifteen observations of perihepatitis due to Chlamydia trachomatis were studied. Occurring in young women (M: 29, 3 years), genital infection is seldom simultaneous, sometimes not even found in the case history (5 times out of 15). Women consult for a biliary type of pain (11 cases out of 15), associated with pelvic pain (2 cases). The diagnosis of perihepatitis is suspected on the normality of usual further investigations, and confirmed by laboratory tests: rarely by direct sighting (2 cases out of 8) but each time with a positive serology and a titer of antibodies higher than 1/64 by the micro immunofluorescence method. Treatment by Cyclins (13 cases) or Macrolids (2 cases) leads to the regression of the painful symptoms during the first week.
