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PID/Trichomoniasis — Medical Practice MCQ

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HardInfectious DiseasesPID/Trichomoniasis

A patient treated for PID remains febrile after 72 hours. Ultrasound shows a persistent complex adnexal collection. What is the next step?

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Correct answer: E — Reassess diagnosis and antibiotics and obtain specialist drainage or surgical review

Failure to improve within 72 hours requires reassessment for a tubo-ovarian abscess, resistant organisms, an alternative surgical diagnosis or poor absorption. A persistent collection needs gynaecology and interventional drainage or surgery review alongside appropriate intravenous antibiotics. Simply extending an ineffective outpatient course risks rupture and sepsis.

Reference: https://www.bashh.org/resources/6/pid_2019/