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January 9, 1981

Fitz-Hugh and Curtis Syndrome in a Man

JAMA. 1981;245(2):128. doi:10.1001/jama.1981.03310270010007

To the Editor.—  The Fitz-Hugh and Curtis syndrome (gonococcal perihepatitis) in a man is rare,1 but we have seen a probable case.

Report of a Case.—  A 26-year-old homosexual man was admitted to the hospital because of a three-week history of right upper quadrant abdominal pain. The pain had gradually increased in intensity, was not pleuritic, and was associated with anorexia and one episode of clear vomitus. The patient denied having other symptoms, intravenous drug abuse, alcohol abuse, recent travel, or urethral discharge.Physical examination showed a well-nourished man in moderate distress from abdominal pain. Abdominal examination showed substantial right upper quadrant tenderness with slight rebound tenderness. Bowel sounds were present. The liver edge was felt 4 cm below the right costal margin, with a total span of 12 cm by percussion. There was no splenomegaly. Findings from the remainder of the examination were within normal limits. Admission temperature