A 58-year-old man with new diagnosis of HIV-negative trichomonas urethritis is treated with metronidazole 2 g once. He remains positive at 1 month and...

Question

A 58-year-old man with new diagnosis of HIV-negative trichomonas urethritis is treated with metronidazole 2 g once. He remains positive at 1 month and denies re-exposure. Next step?

Accepted Answer

Tinidazole 2 g daily for 7 days

Answer

Repeat single 2 g dose

Answer

Metronidazole 500 mg bid for 7 days

Answer

No further treatment

Answer

Topical metronidazole gel

"us-abfm MCQ (SBA): Refractory Trichomoniasis

A 58-year-old man with new diagnosis of HIV-negative trichomonas urethritis is treated with metronidazole 2 g once. He remains positive at 1 month and denies re-exposure. Next step?