Question

A 29-year-old with severe PID and fever 39.2 °C fails to improve after 72 hours of outpatient therapy (ceftriaxone + doxycycline + metronidazole). Next step?

Accepted Answer

Admit for parenteral therapy and consider IUD removal

Answer

Continue oral therapy; improvement may take 7 days

Answer

Switch to azithromycin monotherapy

Answer

Stop metronidazole

Answer

Add fluoroquinolone without admission

Practice question

A 29-year-old with severe PID and fever 39.2 °C fails to improve after 72 hours of outpatient therapy (ceftriaxone + doxycycline + metronidazole). Next step?