Peritonitis, moderate ascites and hepatitis due to infection with Chlamydia trachomatis and Epstein-Barr virus in a young woman. Diagnosis by polymerase chain reaction from peritoneal tissue.
Perihepatitis with ascites is a well-known presentation of pelvic inflammatory disease due to Chlamydia trachomatis. Diagnosis is based on the presence of IgM antibodies or positive culture from cervical samples or ascites. We describe a young woman with a concomitant infection of C. trachomatis and Epstein-Barr virus presenting with fever, hepatitis and ascites. Cultures remained negative and other tests were--at first--inconclusive. Diagnosis was ultimately established by polymerase chain reaction (PCR) and RNA in situ hybridisation of peritoneal tissue obtained at laparoscopy.
van der Laan
N E
NE
Department of Internal Medicine, Ziekenhuis Amstelveen, Netherlands.
Voerman
B J
BJ
Rustemeijer
C
C
van der Hoeven
K J
KJ
D000328:Adult; D001201:Ascites / Q000209:etiology / Q000382:microbiology / Q000821:virology; D002690:Chlamydia Infections / Q000150:complications / Q000175:diagnosis*; D002692:Chlamydia trachomatis; D005260:Female; D006505:Hepatitis / Q000209:etiology* / Q000382:microbiology / Q000821:virology; D006566:Herpesviridae Infections / Q000150:complications / Q000175:diagnosis*; D004854:Herpesvirus 4, Human; D006801:Humans; D017403:In Situ Hybridization; D010538:Peritonitis / Q000209:etiology / Q000382:microbiology / Q000821:virology; D016133:Polymerase Chain Reaction