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Gonococcal Perihepatitis

Peritonitis Gonoccocic of Upper Abdomen


Presentation

  • 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]
  • 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]
  • Find information quickly and easily with a format that includes clearly presented algorithms, tables, and figures. Effectively review for the boards using the self-assessment questions at the end of each chapter.[books.google.com]
  • The clinical presentation may vary from a moderately symptomatic to an acutely ill individual. Most commonly there is an abrupt onset of sharp right upper quadrant pain.[ncbi.nlm.nih.gov]
  • Approximately 60% of patients present with symptoms consistent with the bacteremic form, and the remaining 40% present with symptoms of more localized infection.[odlarmed.com]
Unsafe Sexual Practices
Abdominal Pain
  • 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]
  • The finding of any degree of lower abdominal or pelvic tenderness in addition to the upper abdominal pain, should make one highly suspicious of pelvic inflammatory disease and concommitant FHCS.[ncbi.nlm.nih.gov]
  • 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]
  • She had noticed increased vaginal discharge 2 months earlier and had developed dull, lower abdominal pain 3 weeks prior to presentation.[omicsonline.org]
  • View Full Size Symptoms of cervicitis may vary from a nonspecific vaginal discharge to more specific symptoms including intermenstrual bleeding, dysuria, lower abdominal pain, and dyspareunia.[www2a.cdc.gov]
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]
  • 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]
  • 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]
  • […] 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]
Tenderness in the Right Upper Quadrant
  • Physical examination reveals severe tenderness in the right upper quadrant, while a friction rub that could be heard along the right anterior costal margin was described by Fitz-Hugh as “beautiful new snow creaking frictions” [ 4 ].[gynecolsurg.springeropen.com]
Toothache
  • Thrombus neonatonim 28 Thrush 113 Tic douloureux 491 Tinea amiantacea 613 Tinea capitis 34 Tinea decalvans 35 Tinea faciei 614 Tinea favosa or maligna 35 Tinea furfuracea 613 Tinlding, metallic 155 Tongue 100 Tonic spasms 34 Tonsils 107 Tonsillitis 107 Toothache[ebooksread.com]
Liver Tenderness
  • Fitz-Hugh-Curtis syndrome or gonococcal perihepatitis presents as acute abdominal pain with liver tenderness on palpation and elevated liver function tests.[clinicaladvisor.com]
  • An immune component is also possible, with increased levels of CHSP-60 found in cases of perihepatitis. 126 The physical findings consist of moderate-to-severe liver tenderness without hepatomegaly. A transient friction rub is occasionally present.[glowm.com]
Shoulder Pain
  • 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]
Cutaneous Manifestation
  • Extragenital spread or localization can result in gonococcemia with cutaneous manifestations, meningitis, endocarditis, pericarditis, arthritis, tenosynovitis, perihepatitis, parotitis and proctitis. 1 2 3 Perihepatitis was first described by Stajano[nejm.org]
Incontinence
  • Focus on today's hot topics in urology, including stress and mixed urinary incontinence; prolapse therapy; therapy for overactive bladder; and targeted therapy for renal cell carcinoma.[books.google.com]
Sexual Dysfunction
  • Dysfunction 1203 Chapter 104 Womens Sexual Dysfunction 1210 Chapter 105 Sexuality Education for Young People 1221 A CultureBound Sex Related Disorder in Indian Subcontinent 1225 Chapter 107 Clinical Services for Sexually Transmitted Infections and HIV[books.google.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]
Neurologic Manifestation
  • Manifestations of HIV 910 Chapter 77 Gastrointestinal Manifestations of HIV Infection and AIDS 927 Chapter 78 Renal Manifestations of HIV Infection and AIDS 951 Chapter 79 HIV and Endocrine Manifestations 960 Chapter 80 AIDS Associated Malignancies and[books.google.com]

Workup

  • Fitz-Hugh-Curtis syndrome: An incidental diagnostic finding in an infertility workup. Niger J Clin Pract [serial online] 2016 [cited 2019 May 13];19:834-6.[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]
Neisseria Gonorrhoeae
  • In all six patients the diagnosis was established by positive growth of Neisseria gonorrhoeae from cervix specimens. Evidence of previous gonococcal pelvic infection was disclosed in three of the patients.[ncbi.nlm.nih.gov]
  • Neisseria gonorrhoea is a gram-negative diplococcus whose surface pili form a barrier against phagoc... FIG. 125.1. Skin lesions characteristic of septicemia due to Neisseria gonorrhoeae.[5minuteconsult.com]
  • Abstract Gonococcal urethritis is caused by Neisseria gonorrhoeae , which is transmitted through sexual contact and vertically. Gonorrhea remains a major public health problem.[link.springer.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]

Treatment

  • […] 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]
  • […] of 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[dovemed.com]
  • Stay on top of the latest procedures and treatment guidelines with updated coverage of 184 topics, including Swimmer’s Ear, Dental Pain, Broken Rib, Locked Knee, Puncture Wounds, and Sunburn. Get procedural sedation recommendations from Dr.[books.google.com]
  • Current clinical information is included on these infections as well as on newer aspects of diagnosis, such as the use of laparoscopy in the diagnosis and treatment of pelvic inflammatory disease.[books.google.com]
  • Stay abreast of new AUA and ICI Incontinence guidelines, and access up-to-date information on the latest treatment recommendations, therapy for castrate-resistant prostate cancer, and active surveillance for prostate cancer.[books.google.com]

Prognosis

  • (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]

Etiology

  • 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, 2012[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]
  • 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]
  • 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]
  • Etiology Pathogen Neisseria gonorrhoeae ( N. gonorrhoeae, gonococcus ) Gram-negative, intracellular, aerobic, diplococci Transmission Risk factors Multiple sexual partners Low socioeconomic status Lack of barrier protection (e.g., condomless sex ) Men[amboss.com]

Epidemiology

  • 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: – Reference Values NOT DETECTED Interpretation NG DETECTED: indicates the presence of N. gonorrhoeae DNA.[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]
Sex distribution
Age distribution

Pathophysiology

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

Prevention

  • 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]
  • Chapter 69 Surrogate Markers of Antiretroviral Efficacy 826 Overcoming Barriers to Providing ARV Therapy in ResourceLimited Settings 831 Chapter 71 Antiretroviral Drugs for HIV Prevention 836 Chapter 72 Acute HIV Infection 843 Chapter 73 Opportunistic[books.google.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]
  • 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]

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