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Abdominal distension and shifting dullness were present on examination. CT of the abdomen and pelvis was remarkable for moderate-volume ascites and mild enhancement of the pelvic peritoneum. Paracentesis removed 2.46\u2009L of ascites fluid with 76% lymphocytic predominance. Results for <jats:italic>Chlamydia trachomatis<\/jats:italic> were positive in urine, cervical swab and ascitic fluid. Doxycycline was prescribed for a diagnosis of pelvic inflammatory disease exudative ascites. Since discharge, she has completed her antibiotic course and reports resolution of all symptoms without recurrence of ascites.<\/jats:p>","DOI":"10.1136\/bcr-2018-226437","type":"journal-article","created":{"date-parts":[[2018,12,22]],"date-time":"2018-12-22T15:05:40Z","timestamp":1545491140000},"page":"e226437","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Chlamydia<\/i> ascites: a call for sexually transmitted infection testing"],"prefix":"10.1136","volume":"11","author":[{"given":"Brittne","family":"Halford","sequence":"first","affiliation":[{"name":"Medicine, Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariah Barstow","family":"Piazza","sequence":"additional","affiliation":[{"name":"Medicine, Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Liu","sequence":"additional","affiliation":[{"name":"Medicine, Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuma","family":"Obineme","sequence":"additional","affiliation":[{"name":"Medicine, Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,12,22]]},"reference":[{"key":"2025082803152037000_11.1.e226437.1","unstructured":"Centers for Disease Control and Prevention. 2016 Sexually Transmitted Diseases Surveillance. 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