Loehr Savannah, Bitter Cindy
Saint Louis University School of Medicine, St Louis, MO.
SSM Saint Louis University Hospital, Department of Emergency Medicine, St Louis, MO.
J Educ Teach Emerg Med. 2020 Apr 15;5(2):V19-V21. doi: 10.21980/J82K9G. eCollection 2020 Apr.
Fitz-Hugh Curtis syndrome (FHCS) is a rare sequela of pelvic inflammatory disease that must be included on the differential in patients with abdominal pain, particularly if they have risk factors for sexually transmitted infections. In this case, a 25-year-old female with a past history of presented to the emergency department with vaginal discharge and right upper quadrant pain. Complete blood count showed a mild leukocytosis, and computed tomography demonstrated fat stranding inferior to the liver and along the right colon. The patient was diagnosed with Fitz-Hugh Curtis syndrome and admitted for intravenous (IV) antibiotics. After 48 hours of IV antibiotics she was discharged with a 14-day course of doxycycline and metronidazole. Multiple bacterial species have been implicated in FHCS, including but not limited to , , , , and . Therefore, careful consideration should be given to the choice of antimicrobial treatment.
Fitz-Hugh-Curtis syndrome, perihepatitis, pelvic inflammatory disease, sexually transmitted disease.
菲茨-休-柯蒂斯综合征（FHCS）是盆腔炎的一种罕见后遗症，对于腹痛患者，尤其是有性传播感染风险因素的患者，鉴别诊断时必须考虑到该综合征。在本病例中，一名有既往史的25岁女性因阴道分泌物增多和右上腹疼痛就诊于急诊科。血常规显示轻度白细胞增多，计算机断层扫描显示肝脏下方及右结肠周围有脂肪浸润。该患者被诊断为菲茨-休-柯蒂斯综合征，并入院接受静脉抗生素治疗。静脉使用抗生素48小时后，她出院并接受为期14天的多西环素和甲硝唑治疗。多种细菌与菲茨-休-柯蒂斯综合征有关，包括但不限于 、 、 、 和 。因此，应仔细考虑抗菌治疗的选择。
菲茨-休-柯蒂斯综合征、肝周围炎、盆腔炎、性传播疾病。
