Fitz-Hugh–Curtis syndrome (perihepatitis) complicates pelvic inflammatory disease. Which organisms are classically associated with this condition?

• A Mycobacterium tuberculosis and Actinomyces israelii
• B Neisseria gonorrhoeae and Chlamydia trachomatis ✓
• C Escherichia coli and Bacteroides fragilis
• D Treponema pallidum and Herpes simplex virus

Explanation

Fitz-Hugh–Curtis syndrome is perihepatitis occurring as a complication of PID, classically caused by Neisseria gonorrhoeae (historically first described) and now more commonly associated with Chlamydia trachomatis. The right upper quadrant pain can mimic cholecystitis or pleuritis. Laparoscopy classically shows 'violin-string' adhesions between the liver surface and parietal peritoneum. Treatment is the same as for PID with appropriate antibiotics.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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