She had noticed increased vaginal discharge 2 months earlier and had developed dull, lower abdominal pain 3 weeks prior to presentation. [omicsonline.org]

The first has a different clinical presentation, with more nodules at the level of the peritoneum and a clear malignancy involving the ovaries. [hellomrdoctor.com]

Accordingly, this two-volume comprehensive presentation of infectious diseases involving the male and female reproductive systems promises to be a major contribution in this field and to fill a much-needed vacuum. [books.google.com]

Of the annual mean number of patients admitted to the emergency ward with suspicion of acute cholecystitis within the same three year period, 2.6% presented with gonococcal perihepatitis. [ncbi.nlm.nih.gov]

• Fever

  […] initially affects the pelvic region and later spreads to upper abdomen region, affecting the liver The characteristic feature of this disorder is a painfully inflamed liver, causing an intense pain in the upper right abdomen portion, accompanied by fever [dovemed.com]

  547 Fever and ao'ue 551 Fever-blisters 77, 610 Figwarts 389,608 First sound of the heart 204 Fish-skin - 607 Fissures on the tongue 103 Fistulse ani 267 Fistula denlalis 83 Fistula thoracica 197 Flatulency 293 Flores sulphuris 275 Fontanelles 29 Form [ebooksread.com]

  Descriptive Epidemiology 587 Mechanisms and Routes of Transmission 7 Pathogenesis and Immunity 590 Patterns of Host Response 591 Control and Prevention 592 References 593 Suggested Reading 595 Rocky Mountain Spotted Fever Theodore E Woodward and J Stephen [books.google.com]

  Fever with abdominal pain, pelvic pain, and vaginal discharge can be symptoms of this disease. Men: Fever, discharge from the penis, and painful urination may signal an infection, especially involving inflammation of the testicles. [emedicinehealth.com]

  Gallbladder palpable 1/3 cases; jaundice (serum bilirubin usually < 4 mg % unless choledocholithiasis) Low grade fever (38- F), modest elevated WBC (10,000-16,000) Mild-moderate elevated SGOT/SGPT usually present. [tcd.ie]

• Chills

  […] with Fitz-Hugh-Curtis: Sudden onset of severe pain in the upper right part of the abdomen, over the gallbladder Pain that may have moved to the right shoulder and inside of right arm Increasing pain with coughing, sneezing, or movement Nausea Vomiting Chills [verywell.com]

  Other symptoms might include: Fever Chills Night sweat Nausea and vomiting Hiccups Headaches A general feeling of poor health (malaise) The symptoms of PID -- pain in the lower belly and vaginal discharge -- are often present, as well. [webmd.com]

  […] possibly with a necrotic or hemorrhagic center Most commonly distributed on the trunk, extremities ( sometimes involving the palms and soles ) Typically < 10 lesions that have a transient course (subside in 3–4 days) Additional manifestations: fever and chills [amboss.com]

  […] shoulder Pleuritic chest pain can also be present among the symptoms Tenderness in the right upper abdomen upon palpation The tenderness can be elicited through the percussion of the lower ribs (as these protect the liver) Systemic symptoms Fever and/or chills [hellomrdoctor.com]

  The patient did not report fever, chills, nausea, diarrhea, conjunctivitis, urethral discharge or dysuria, and he denied possible exposure to sexually transmitted diseases. He had no previous history of arthritis or connective tissue disease. [the-medical-dictionary.com]

• Unsafe Sexual Practices

  […] partners, avoiding unsafe sexual practices, and routinely using appropriate barrier protection. [emedicine.medscape.com]

• Camping

  He completed a family practice residency at the Naval Hospital, Camp Pendleton, Calif., and a faculty development fellowship at the University of North Carolina at Chapel Hill. [the-medical-dictionary.com]

• Abdominal Pain

  In conclusion, in a woman of reproductive age who presents with acute right upper quadrant pain with or without lower abdominal pain, the possibility of FHCS should be kept in mind. [omicsonline.org]

  Fitz-Hugh-Curtis syndrome. ( 21276763 ) Huang H.H....Tyan Y.S. 2011 39 Fitz-Hugh-Curtis syndrome: abdominal pain in women of 26 years old. ( 22054272 ) Rivero-SA! [malacards.org]

  As the incidence of gonorrhoea is increasing, complications such as perihepatitis are seen more frequently among young female patients admitted to surgical emergency wards because of acute abdominal pains. [ncbi.nlm.nih.gov]

  Without the presence of PID, diagnosis may be difficult, since many conditions can cause abdominal pain. [verywell.com]

• Nausea

  […] the pelvic region and later spreads to upper abdomen region, affecting the liver The characteristic feature of this disorder is a painfully inflamed liver, causing an intense pain in the upper right abdomen portion, accompanied by fever, vomiting, and nausea [dovemed.com]

  […] symptoms associated with Fitz-Hugh-Curtis: Sudden onset of severe pain in the upper right part of the abdomen, over the gallbladder Pain that may have moved to the right shoulder and inside of right arm Increasing pain with coughing, sneezing, or movement Nausea [verywell.com]

  Other symptoms might include: Fever Chills Night sweat Nausea and vomiting Hiccups Headaches A general feeling of poor health (malaise) The symptoms of PID -- pain in the lower belly and vaginal discharge -- are often present, as well. [webmd.com]

  Nausea is common, vomiting less so Murphy's sign (increased tenderness during inspiration with RUQ palpation). Abdominal findings range from mild to severe RUQ pain and tenderness. [tcd.ie]

  […] chest pain can also be present among the symptoms Tenderness in the right upper abdomen upon palpation The tenderness can be elicited through the percussion of the lower ribs (as these protect the liver) Systemic symptoms Fever and/or chills Headaches Nausea [hellomrdoctor.com]

• Abdominal Tenderness

  She had a hysterosalpingogram that showed bilateral tubal blockage and clinical assessment showed right sided abdominal tenderness, cervical excitation tenderness, and adnexa tenderness. [njcponline.com]

  Symptoms of PID include pelvic pain, fever, abdominal tenderness, and vaginal discharge. The main complication in men is epididymitis (inflammation of the part of the testicles where sperm is stored), which can cause infertility if not treated. [medbroadcast.com]

  The most common physical exam findings are bilateral adnexal tenderness and purulent cervical discharge. Cervical motion, uterine, and lower abdominal tenderness may also be present. [cdemcurriculum.com]

  Between attacks, the physical findings are usually normal, with the possible exception of residual upper abdominal tenderness. [scrigroup.com]

  Physical examination usually reveals lower abdominal tenderness, pain to uterine and cervical motion or adnexal tenderness. The leukocytes are usually within normal limits or slightly elevated (6,8). [scielo.isciii.es]

• Right Upper Quadrant Tenderness

  These patients appear septic as well, and often present with right upper quadrant or referred right shoulder pain. Elevated liver function studies confirm the diagnosis. [cdemcurriculum.com]

• Liver Tenderness

  Liver Insufficiency. Fitz-Hugh-Curtis syndrome or gonococcal perihepatitis presents as acute abdominal pain with liver tenderness on palpation and elevated liver function tests. [clinicaladvisor.com]

  […] adnexal tenderness is present. [glowm.com]

• Night Sweats

  sweats Headaches Hiccupping Common Causes and Diagnosis In general, a physician cannot see or feel the presence of Fitz-Hugh-Curtis syndrome, so upper abdominal pain may be the only way to suggest the direction of diagnosis. [verywell.com]

  Other symptoms might include: Fever Chills Night sweat Nausea and vomiting Hiccups Headaches A general feeling of poor health (malaise) The symptoms of PID -- pain in the lower belly and vaginal discharge -- are often present, as well. [webmd.com]

  sweats State of general malaise Other symptoms Hiccups Features of acute salpingitis (not common) It is important to mention that the patient might present little or even no pain in the pelvic area. [hellomrdoctor.com]

  The inflammation of the upper side of the diaphragm usually causes a sharp right upper quadrant pain; pain can also be spotted at the right shoulder or the inside of the right arm, accompanied by nausea, vomiting, night sweats, headache, and malaise. [gynecolsurg.springeropen.com]

• Salpingitis

  The condition most commonly (but not exclusively) occurs in females with PID/salpingitis infected with Chlamydia trachomatis or Neisseria gonorrhoeae the commonly defined causative organisms. [lifeinthefastlane.com]

  In a paper published in 1997, Money et al. compared 27 patients with perihepatitis and salpingitis, diagnosed via laparoscopy, and 46 patients with salpingitis alone. [gynecolsurg.springeropen.com]

  The relative importance of N. gonorrhoeae in these women usually has not been simultaneously determined, but in one report infertility rates after chlamydial salpingitis (23%), gonococcal salpingitis (24%), and nonchlamydial nongonococcal salpingitis [glowm.com]

  Chlamydia trachomatis Fitz-Hugh-Curtis syndrome without salpingitis in female adolescents. Am J Dis Child. 1988;142:996-8. FROM THE INTERNET Frumovitz MM. Fitz-Hugh-Curtis syndrome. Emedicine Journal, August 28, 2006. [rarediseases.org]

  There is a higher serum titer of anti- Chlamydia immunoglobulin G antibodies in patients with Fitz-Hugh-Curtis syndrome and salpingitis than in patients with salpingitis alone. [6], [7], [8] Perihepatitis and Fitz-Hugh-Curtis syndrome seem to represent [njcponline.com]

• Headache

  […] onset of severe pain in the upper right part of the abdomen, over the gallbladder Pain that may have moved to the right shoulder and inside of right arm Increasing pain with coughing, sneezing, or movement Nausea Vomiting Chills and fever Night sweats Headaches [verywell.com]

  Other symptoms might include: Fever Chills Night sweat Nausea and vomiting Hiccups Headaches A general feeling of poor health (malaise) The symptoms of PID -- pain in the lower belly and vaginal discharge -- are often present, as well. [webmd.com]

  Pleuritic chest pain can also be present among the symptoms Tenderness in the right upper abdomen upon palpation The tenderness can be elicited through the percussion of the lower ribs (as these protect the liver) Systemic symptoms Fever and/or chills Headaches [hellomrdoctor.com]

  There was no history of blurring of vision, persistent headache, heat or cold intolerance, galactorrhea, or undue loss of weight. Husband had been assessed and his semen analysis was within normal range. [njcponline.com]

  The inflammation of the upper side of the diaphragm usually causes a sharp right upper quadrant pain; pain can also be spotted at the right shoulder or the inside of the right arm, accompanied by nausea, vomiting, night sweats, headache, and malaise. [gynecolsurg.springeropen.com]

Fitz-Hugh-Curtis syndrome: An incidental diagnostic finding in an infertility workup. Niger J Clin Pract 2016;19:834-6 How to cite this URL: Onoh R C, Mgbafuru C C, Onubuogu S E, Ugwuoke I. [njcponline.com]

2016 16 Fitz-Hugh-Curtis Syndrome Consequent to a Wound Infection Following Removal of a Peritoneal Dialysis Catheter. ( 27903855 ) Zilberman-Daniels T....Korzets Z. 2016 17 Fitz-Hugh-Curtis syndrome: An incidental diagnostic finding in an infertility workup [malacards.org]

Consequently, a pregnancy test is mandatory in the workup of women of childbearing age who have lower abdominal pain. (See DDx.) [emedicine.medscape.com]

Laparoscopic treatment of painful perihepatic adhesions in Fitz-Hugh-Curtis syndrome. Obstet Gynecol 1991;78:542–543. 11. Counselman FL. An unusual presentation of Fitz-Hugh-Curtis syndrome. J Emerg Med 1994;12:167–170. 12. [synapse.koreamed.org]

Treatment should be continued for a total of seven days. In certain patients, treatment may be completed with an appropriate oral antibiotic on an outpatient basis after resolution of symptoms. [the-medical-dictionary.com]

[…] of HIV in Industrialized and Middle Income CountriesŠAdults Adolescents and Pediatric 1310 Chapter 115 Guidelines for the Treatment of HIV and AIDS in ResourceLimited Countries 1328 Chapter 116 Guidelines for Prevention of Perinatal HIV Infection 1345 [books.google.com]

RR-3):1-137. [ 2015 STD Treatment Guidelines ] Table 3. 2015 STD Treatment Guidelines: Gonococcal Infections Treatment of Gonococcal Conjunctivitis Recommended for Treatment of Gonococcal Conjunctivitis Ceftriaxone Ceftriaxone Tradename: Rocephin 1 g [std.uw.edu]

Update to CDC’s sexually transmitted diseases treatment 2010 guidelines: oral cephalosporins no longer a recommended treatment for gonococcal infections. MMWR Morb Mortal Wkly Rep. 2012a;61:590–4. Google Scholar CDC. [link.springer.com]

(if necessary), the condition can be effectively managed Please find comprehensive information on Fitz Hugh Curtis Syndrome regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis [dovemed.com]

Prognosis The prognosis of the Fitz-Hugh-Curtis syndrome is the same as for the pelvic inflammatory disease. [hellomrdoctor.com]

Prognosis and Patient Counseling. Prognosis is good. Patients should be instructed on need to prevent reinfection by using condoms and spermicide. VI. Patient Safety and Quality Measures A. Core Indicator Standards and Documentation. N/A B. [clinicaladvisor.com]

Epidemiology, etiology and prognosis of acute salpingitis: a study of 1457 laparoscopically verified cases. In Hobson D, Holmes KK (eds): Nongonococcal Urethritis and Related Diseases. [glowm.com]

Public health efforts implemented in Scandinavia to decrease the prevalence of STIs have been quite effective in reducing the incidence of PID. [47, 48] Prognosis PID has 3 principal complications, as follows: Chronic pelvic pain Infertility Ectopic pregnancy [emedicine.medscape.com]

It has been demonstrated to occur in genital tuberculosis as well, and Mycobacterium tuberculosis may even be the dominating etiologic agent in endemic areas of developing countries 11-12. [radiopaedia.org]

You are here: Urology Textbook > Penis > Sexually transmitted diseases > Gonorrhea > Pathogen and symptoms Gonorrhea (1/2): Etiology, Signs and Symptoms Gonorrhea (2/2): Diagnosis and Treatment Review-Literature: (CDC Guidelines, 2012) (IUSTI Guidelines [urology-textbook.com]

The etiologic agent, NEISSERIA GONORRHOEAE, was isolated by Neisser in 1879. Definition (CSP) acute infectious disease characterized by primary invasion of the urogenital tract; the etiologic agent is Neisseria gonorrhoeae. [fpnotebook.com]

The classic etiologic agent is the N. gonorrhoeae, however in recent years the C. trachomatis has been detected with increasing frequency (2,6). [scielo.isciii.es]

Shah, MD, MSCE Reviewed 10/2018 Neisseria gonorrhoeae, an aerobic gram-negative diplococcus, is the etiologic agent of gonorrhea. Gonorrhea is the second most common sexually transmitted infection (STI)... [5minuteconsult.com]

Descriptive Epidemiology 587 Mechanisms and Routes of Transmission 7 Pathogenesis and Immunity 590 Patterns of Host Response 591 Control and Prevention 592 References 593 Suggested Reading 595 Rocky Mountain Spotted Fever Theodore E Woodward and J Stephen [books.google.com]

Epidemiology References: [1] [2] [3] [4] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]

Epidemiology in Newfoundland and Labrador can be found in the Communicable Disease Report: Gonococcal: – http://www.health.gov.nl.ca/health/publichealth/cdc/mdr/Gonorrhoea_v28n1_June_2011.pdf Reference Values NOT DETECTED Interpretation NG DETECTED: indicates [publichealthlab.ca]

Epidemiology Gonococcal infection is the second most common bacterial disease in the United States that is classified as a reportable and notifiable infection. [pedsinreview.aappublications.org]

Epidemiology of Gonorrhea 150-400/100 000 new cases per year, downward trend in Europe (but not in the risk population). Etiology of Gonorrhea Bacterial pathogen: gram-negative diplococcus Neisseria gonorrhoeae. Strictly aerobic. Unencapsulated. [urology-textbook.com]

This may be due to infectious bacteria bypassing pelvic structures on the way to the liver capsule. [ citation needed ] Pathophysiology [ edit ] Fitz-Hugh–Curtis syndrome occurs almost exclusively in women. [en.wikipedia.org]

Pathophysiology Gonococcal infections tend to be associated with the acute onset of symptoms and purulent mucosal drainage due to the organism's ability to recruit polymorphonuclear leukocytes (PMNs). [pedsinreview.aappublications.org]

Disseminated gonococcal infection: a prospective analysis of 49 patients and a review of pathophysiology of 49 patients and a review of pathophysiology and immune mechanisms. Medicine 1983;62:395-406. [9] Hook EW 3d, Holmes KK. [the-medical-dictionary.com]

Pathophysiology Women are clearly affected by this condition. [hellomrdoctor.com]

Pathophysiology N gonorrhoeae is a highly infectious organism capable of colonizing diverse mucosal surfaces. The risk of infection from a single contact is estimated at 60-90% among women and 20-50% among men. [odlarmed.com]

Descriptive Epidemiology 587 Mechanisms and Routes of Transmission 7 Pathogenesis and Immunity 590 Patterns of Host Response 591 Control and Prevention 592 References 593 Suggested Reading 595 Rocky Mountain Spotted Fever Theodore E Woodward and J Stephen [books.google.com]

Can I Prevent Fitz-Hugh-Syndrome? Since this condition is linked to PID, the best way to prevent it is to not get PID. [webmd.com]

[…] laparoscopic surgery (if necessary), the condition can be effectively managed Please find comprehensive information on Fitz Hugh Curtis Syndrome regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention [dovemed.com]

Preventive Services Task Force. Screening for chlamydial infection: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2007;147(2):128–134. 27. Meyers DS, Halvorson H, Luckhaupt S; U.S. Preventive Services Task Force. [aafp.org]