Tan Ruyi, Nguyen Andrew W, Abasszade Joshua Haron, Cohen-Hallaleh Violette, Druce Jeremy, Braude Michael
Department of Gastroenterology and Hepatology, Monash Health, Clayton, Victoria 3168, Australia.
Department of Medical Imaging, Royal Prince Alfred Hospital, Camperdown, New South Wales 2050, Australia.
IDCases. 2024 May 20;37:e01990. doi: 10.1016/j.idcr.2024.e01990. eCollection 2024.
Neisseria gonorrhoea continues to be implicated in a large proportion of sexually transmitted infections worldwide. Prompt recognition of infection is required to prevent further complications which include pelvic inflammatory disease and less commonly, perihepatitis which is known eponymously as Fitz-Hugh-Curtis syndrome. Third generation cephalosporins such as ceftriaxone remain effective in the treatment of gonococcal infection, however failure in initiation of appropriate antibiotic therapy in a timely manner can result in further disseminated disease. We describe an atypical case of Fitz-Hugh-Curtis syndrome presenting with multiple intra-abdominal gonococcal collections. Our case highlights the importance of a detailed sexual history in the evaluation of acute abdominal pain in at-risk patient demographics.
淋病奈瑟菌在全球大部分性传播感染中仍占很大比例。需要及时识别感染，以预防包括盆腔炎等进一步的并发症，较少见的是肝周围炎，即众所周知的菲茨-休-柯蒂斯综合征。第三代头孢菌素如头孢曲松在治疗淋球菌感染方面仍然有效，然而未能及时开始适当的抗生素治疗可能会导致疾病进一步播散。我们描述了一例表现为多个腹腔内淋球菌聚集的非典型菲茨-休-柯蒂斯综合征病例。我们的病例强调了在评估高危患者群体的急性腹痛时详细性病史的重要性。
