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Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed.
- Source :
-
Case reports in gastroenterology [Case Rep Gastroenterol] 2021 Oct 11; Vol. 15 (3), pp. 898-903. Date of Electronic Publication: 2021 Oct 11 (Print Publication: 2021). - Publication Year :
- 2021
-
Abstract
- Ascites is a common complication of several conditions, but it is rare in cases of Chlamydia trachomatis infection. We report a 36-year-old patient presenting with abdominal swelling for a week prior to hospitalization. An extensive workup excluded liver or heart disease and malignancy. A computed tomography scan demonstrated massive ascites and severe thickening of peritoneal reflections. Laboratory tests showed low serum-ascites albumin gradient, high total protein, and low adenosine. Diagnostic laparoscopy revealed inflammatory signs of both fallopian tubes. The histopathological results from peritoneal biopsy were consistent with lymphoid proliferation with reactive lymphoplasmacytic infiltrate. A gynecological investigation showed a positive DNA for C. trachomatis in the cervical swab. After treatment with doxycycline, there was a complete resolution of ascites.<br />Competing Interests: The authors of this manuscript do not have any conflicts of interest to declare.<br /> (Copyright © 2021 by S. Karger AG, Basel.)
Details
- Language :
- English
- ISSN :
- 1662-0631
- Volume :
- 15
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Case reports in gastroenterology
- Publication Type :
- Report
- Accession number :
- 34720841
- Full Text :
- https://doi.org/10.1159/000519706