Fitz-Hugh-Curtis syndrom

Friction rub A respiratory friction sound above the liver is an indication of perihepatitis. This inflammation of the liver occurs in tumours, liver abscesses or bacterial perihepatitis (e. g. Fitz-Hugh-Curtis syndrome) and, in rare cases, temporarily after a liver biopsy. Perisplenic rubbing is occasionally discernible after splenic infarction. When pressure is applied to the stethoscope, the rubbing sound increases. 

This virus species derived its name from the town of Coxsackie in the state of New York, where virological evidence thereof was successfully obtained for the first time. Coxsackie viruses are assigned to the picornavirus group, consisting at present of 23 A and 6 B types. Coxsackie hepatitis with mesenchymal reactions, portal infiltration and focal hepatocellular necrosis sometimes occurs, especially in infants. Cholestatic, predominantly centrolobular forms of the disease, can develop in adults. A lethal course is extremely rare. (66-68) The course of infection with the Coxsackie type B4 or B5 virus may give rise to the Fitz-Hugh-Curtis syndrome with the development of the typical violin string-like adhesive strands. (65) (s. fig. 24.2)... 

Brmboiic, B., Jevtovic, D., Zerjav, S., Surakovic, V. Fitz-Hugh Curtis syndrome. Presentation of a case. Gastroenterohepatol. Arh. 1990 9 137-139... 

Fig. 24.2 Fitz-Hugh-Curtis syndrome perihepatitis with violin string-like adhesions in gonorrhoeal infection...

Perihepatitis acuta gonorrhoica Of special relevance is a fibrinous inflammation of the subphrenic space without abscess formation, occurring as a sequel of gonorrhoeal adnexitis in women. It is also called the Fitz-Hugh-Curtis syndrome (A.H. Curtis, 1932 T. Fitz-Hugh, 1934),... 

Amman, R., Zehender, O., Jenny, S., Bass, G. Die Perihepatitis acuta gonorrhoica (Fitz-Hugh-Curtis-Syndrom). Dtsch. Med. Wschr. 1971, 96 1515-1519... 

Lopez-Zeno, J.A., Keith, L.G., Berger, G.S. The Fitz-Hugh-Curtis syndrome revisited. Changing perspectives after half a century. J. Reprod. Med. 1985 30 567-582... 

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