1/5. Fitz-Hugh-Curtis syndrome.The Fitz-Hugh-Curtis syndrome consists of right upper quadrant abdominal pain, perihepatitis and genital tract infection. neisseria gonorrhoeae and chlamydia trachomatis have been identified as causative agents. This syndrome frequently mimics other diseases and typically occurs in sexually active young women. A high index of suspicion is essential for early diagnosis. laparoscopy may be indicated for diagnosis and for lysis of adhesions.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
2/5. Postgonococcal conjunctivitis due to chlamydia trachomatis.We describe a case in which chlamydia trachomatis was the etiologic agent of postgonococcal conjunctivitis in an adolescent female. This case report demonstrates the need for considering C. trachomatis as the cause of persistent or recurrent conjunctivitis in a sexually active patient. Clinicians should be aware of the possibility of concurrent infections with neisseria gonorrhoeae and C. trachomatis and should treat the patient accordingly.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
3/5. New issues in the prevention and treatment of ophthalmia neonatorum.We have recently seen two cases of ophthalmia neonatorum (ON) that illustrate a changing picture of this disease and raise a number of questions concerning optimal prophylaxis and treatment. silver nitrate, which is the most widely used method for prevention of gonococcal ON, fails to prevent neonatal eye disease due to chlamydia. In addition, strains of gonococci which produce a penicillinase and are resistant to penicillin are becoming common in parts of the united states and europe. Thus all gonococcal isolates must be tested for penicillinase production. The emergence of chlamydia trachomatis as the most frequent cause of ON and the appearance of penicillin-resistant gonococci has led to new regimens for prophylaxis and therapy of neonatal ophthalmia. At our institution, we now use intramuscular penicillin and topical tetracycline ointment (1%) for eye prophylaxis. For initial therapy of gonococcal ON we recommend penicillin (systemic and topical) plus another antimicrobial with greater stability against the penicillinase of neisseria gonorrhoeae.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
4/5. Perihepatitis (Fitz-Hugh--Curtis syndrome). A review and case presentation.Perihepatitis, or Fitz-Hugh--Curtis syndrome (FHC), is a complication of pelvic inflammatory disease (PID). Although though in the past neisseria gonorrhoeae was thought to be the only etiological agent, recent data indicate that chlamydia trachomatis can produce the syndrome. Because cervical cultures frequently fail to demonstrate the presence of C. trachomatis, the serologic microimmunofluorescence antibody test is essential to diagnosis; the antibody titer in FHC syndrome is markedly higher than in PID without FHC syndrome. The classic presenting symptom of perihepatitis is severe right upper quadrant abdominal pain. If unnecessary diagnostic and surgical procedures are to be avoided, the FHC syndrome in the sexually active young woman must be included in the differential diagnosis of abdominal pain irrespective of its location. To illustrate the diagnosis and management of the FHC syndrome caused by C. trachomatis, a case of a 16-year-old adolescent female is presented.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |
5/5. Vaginal chlamydia trachomatis infection in children with sexual contact.To determine whether vaginal infections with chlamydia trachomatis in children were associated with sexual contact, 50 children ages 1 to 12 years with a history of sexual contact and 34 children without such a history were studied. Vaginal, throat and rectal cultures for C. trachomatis and neisseria gonorrhoeae were performed in all children. Three children with sexual contact and none of the children without a history of sexual contact had vaginal infections. The three infected children were asymptomatic and only one had had vaginal intercourse. None of the 10 children with a history of sexual contact and gonorrheal vaginitis had C. trachomatis isolated. Although C. trachomatis vaginal infections as detected by vaginal cultures are infrequent, we recommend that all girls being evaluated for sexual contact be routinely cultured for C. trachomatis so that those infected can be treated.- - - - - - - - - - ranking = 1keywords = gonorrhoeae (Clic here for more details about this article) |