title: Chlamydia trachomatis-induced Fitz-Hugh-Curtis syndrome: a case report.
abstract: BACKGROUND
  Fitz-Hugh-Curtis syndrome is defined as perihepatitis associated with pelvic inflammatory disease. Chlamydia trachomatis is one of its most common aetiologies. This syndrome usually presents with right upper quadrant abdominal pain mimicking other hepatobiliary and gastrointestinal pathologies, hence, posing a diagnostic dilemma in settings with limited diagnostic tools.
  
  
  METHODS
  A 32 year old African female presented with acute right upper quadrant abdominal pain and vaginal discharge, for which she had previously received treatment in another health center with no improvement. Clinical and laboratory findings were suggestive of Fitz-Hugh-Curtis syndrome. Five days after treatment with oral doxycycline, the patient showed marked clinical improvement.
  
  
  CONCLUSIONS
  Fitz-Hugh-Curtis syndrome is a common cause of right upper quadrant pain which is often under diagnosed in poor communities. Hence, it should be included as a differential diagnosis in patients presenting with right upper quadrant pain, especially in females of reproductive age.
authors.affiliation: Department of Medicine, Faculty of Health Sciences, University of Buea, Buea, Cameroon.|Grace Community Health and Development Association (GRACHADA), Kumba, Cameroon.
authors.forename: Cyril Jabea
authors.initials: CJ
authors.lastname: Ekabe
authors.affiliation: Department of Medicine, Faculty of Health Sciences, University of Buea, Buea, Cameroon.|Grace Community Health and Development Association (GRACHADA), Kumba, Cameroon.
authors.forename: Jules
authors.initials: J
authors.lastname: Kehbila
authors.affiliation: Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxfordshire, UK. tsinjim@gmail.com.|Health and Human Development (2HD) Research Group, Douala, Cameroon. tsinjim@gmail.com.
authors.forename: Tsi
authors.initials: T
authors.lastname: Njim
authors.affiliation: Department of Medicine, Faculty of Health Sciences, University of Buea, Buea, Cameroon.|Grace Community Health and Development Association (GRACHADA), Kumba, Cameroon.|Presbyterian General Hospital Acha-Tugi, Acha-Tugi, Cameroon.
authors.forename: Benjamin Momo
authors.initials: BM
authors.lastname: Kadia
authors.affiliation: Department of Medicine, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
authors.forename: Celestine Ntemlefack
authors.initials: CN
authors.lastname: Tendonge
authors.affiliation: Department of Medicine, Faculty of Health Sciences, University of Buea, Buea, Cameroon.|Global Health Dialogue Foundation, Buea, Cameroon.
authors.forename: Gottlieb Lobe
authors.initials: GL
authors.lastname: Monekosso
mesh_terms: D015746:Abdominal Pain / Q000150:complications; D000284:Administration, Oral; D000328:Adult; D000349:Africa; D002690:Chlamydia Infections / Q000150:complications* / Q000382:microbiology; D002692:Chlamydia trachomatis; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000008:administration & dosage; D005260:Female; D006505:Hepatitis / Q000150:complications / Q000382:microbiology*; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000150:complications / Q000382:microbiology*; D010538:Peritonitis / Q000150:complications / Q000382:microbiology*
chemical_list: D004318:Doxycycline
keywords: Chlamydia trachomatis; Fitz Hugh–Curtis syndrome; Resource-limited setting