A 25-year-old woman presents with a week-long history of vaginal discharge and lower abdominal pain. She is febrile (38.2°C). Pelvic examination

Question

A 25-year-old woman presents with a week-long history of vaginal discharge and lower abdominal pain. She is febrile (38.2°C). Pelvic examination reveals cervical excitation tenderness. NAAT is positive for Chlamydia trachomatis. Pregnancy test is negative. What is the most appropriate treatment?

Accepted Answer

IM Ceftriaxone 1 g single dose plus oral Doxycycline 100 mg BD for 14 days plus oral Metronidazole 400 mg BD for 14 days

Answer

Oral Doxycycline 100 mg BD for 7 days as the preferred next diagnostic investigation in this patient

Answer

Oral Moxifloxacin 400 mg daily for 14 days as the preferred next diagnostic investigation in this patient

Answer

IM Ceftriaxone 1 g single dose plus Azithromycin 1 g single dose as the preferred next investigation

Answer

Azithromycin 1 g single oral dose as the preferred next diagnostic investigation in this patient

Pelvic Inflammatory Disease — SCE Infectious Diseases MCQ

A 25-year-old woman presents with a week-long history of vaginal discharge and lower abdominal pain. She is febrile (38.2°C). Pelvic examination reveals cervical excitation tenderness. NAAT is positive for Chlamydia trachomatis. Pregnancy test is negative. What is the most appropriate treatment?