A 28-year-old woman with pelvic inflammatory disease (PID) presents with fever, pelvic pain, cervical motion tenderness, and mucopurulent discharge. S...

Question

A 28-year-old woman with pelvic inflammatory disease (PID) presents with fever, pelvic pain, cervical motion tenderness, and mucopurulent discharge. She is stable for outpatient therapy. What is the best initial treatment regimen?

Accepted Answer

Ceftriaxone 500 mg IM once plus doxycycline 100 mg BID and metronidazole 500 mg BID for 14 days

Answer

Azithromycin 1 g PO single dose only

Answer

Cefixime 400 mg PO once plus doxycycline 100 mg BID for 7 days

Answer

Levofloxacin 500 mg PO daily for 7 days

Answer

Ceftriaxone 250 mg IM once plus azithromycin 1 g PO once

us-abfm MCQ (SBA): Pelvic Inflammatory Disease

A 28-year-old woman with pelvic inflammatory disease (PID) presents with fever, pelvic pain, cervical motion tenderness, and mucopurulent discharge. She is stable for outpatient therapy. What is the best initial treatment regimen?