Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed

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 t...

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Autores principales:	Luísa Leite Barros, Jessica Calheiros da Silva, Anna Carolina Batista Dantas, Leandro Aurelio Liporoni Martins, Sidney Klajner, Alberto Queiroz Farias
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	pelvic inflammatory disease chlamydia trachomatis ascites Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/5e76bdc730eb4edeac6a097837663815
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spelling	oai:doaj.org-article:5e76bdc730eb4edeac6a0978376638152021-11-04T14:40:31ZPeritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed1662-063110.1159/000519706https://doaj.org/article/5e76bdc730eb4edeac6a0978376638152021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519706https://doaj.org/toc/1662-0631Ascites 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.Luísa Leite BarrosJessica Calheiros da SilvaAnna Carolina Batista DantasLeandro Aurelio Liporoni MartinsSidney KlajnerAlberto Queiroz FariasKarger Publishersarticlepelvic inflammatory diseasechlamydia trachomatisascitesDiseases of the digestive system. GastroenterologyRC799-869ENCase Reports in Gastroenterology, Vol 15, Iss 3, Pp 898-903 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pelvic inflammatory disease chlamydia trachomatis ascites Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	pelvic inflammatory disease chlamydia trachomatis ascites Diseases of the digestive system. Gastroenterology RC799-869 Luísa Leite Barros Jessica Calheiros da Silva Anna Carolina Batista Dantas Leandro Aurelio Liporoni Martins Sidney Klajner Alberto Queiroz Farias Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed
description	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.
format	article
author	Luísa Leite Barros Jessica Calheiros da Silva Anna Carolina Batista Dantas Leandro Aurelio Liporoni Martins Sidney Klajner Alberto Queiroz Farias
author_facet	Luísa Leite Barros Jessica Calheiros da Silva Anna Carolina Batista Dantas Leandro Aurelio Liporoni Martins Sidney Klajner Alberto Queiroz Farias
author_sort	Luísa Leite Barros
title	Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed
title_short	Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed
title_full	Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed
title_fullStr	Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed
title_full_unstemmed	Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed
title_sort	peritoneal chlamydia trachomatis infection as a cause of ascites: a diagnosis not to be missed
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/5e76bdc730eb4edeac6a097837663815
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Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed

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