{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:21:02Z","timestamp":1747149662370,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T00:00:00Z","timestamp":1620172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Our patient had appendicitis complicated by <jats:italic>Chlamydia trachomatis<\/jats:italic>\u2010induced Fitz\u2010Hugh\u2010Curtis syndrome and cervicitis. Differential diagnosis was challenging. A 22\u2010year\u2010old Japanese woman was febrile and presented with vomiting and subsequent abdominal pain. She had unprotected sexual intercourse with multiple partners. She had high Alvarado score and lack of cervical motion pain, despite cervical inflammation. Noncontrast CT showed enlarged appendix. Laparoscopic appendectomy revealed acute suppurative appendicitis and perihepatic adhesion. Cervical PCR assay was positive for <jats:italic>C.\u00a0trachomatis<\/jats:italic>. She remained febrile but defervesced after azithromycin therapy. Clinicians should confirm whether females with abdominal pain are sexually active in view of screening for <jats:italic>C.\u00a0trachomatis<\/jats:italic>.<\/jats:p>","DOI":"10.1002\/jgf2.446","type":"journal-article","created":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T09:10:00Z","timestamp":1620292200000},"page":"288-290","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic challenge of chlamydial Fitz\u2010Hugh\u2010Curtis syndrome and cervicitis complicated by appendicitis: Case report"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3034-7588","authenticated-orcid":false,"given":"Naoto","family":"Ishimaru","sequence":"first","affiliation":[{"name":"Department of General Internal Medicine Akashi Medical Center Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yohei","family":"Kanzawa","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine Akashi Medical Center Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0357-9321","authenticated-orcid":false,"given":"Takahiro","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine Akashi Medical Center Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Seto","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine Akashi Medical Center Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Ando","sequence":"additional","affiliation":[{"name":"Department of Surgery Akashi Medical Center Hyogo 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