Question

A 39-year-old with suspected PID due to gonorrhea received ceftriaxone 500 mg IM once but did not take doxycycline/metronidazole. She returns with persistent pain. Next step?

Accepted Answer

Repeat ceftriaxone and add doxycycline and metronidazole for 14 days

Answer

No further antibiotics; observe

Answer

Start azithromycin 1 g once

Answer

Start levofloxacin monotherapy

Answer

Admit and stop all antibiotics

Practice question

A 39-year-old with suspected PID due to gonorrhea received ceftriaxone 500 mg IM once but did not take doxycycline/metronidazole. She returns with persistent pain. Next step?