Question

A 38-year-old woman with pelvic inflammatory disease (PID), presenting with fever, pelvic pain, and cervical motion tenderness, is stable for outpatient therapy. What is the best initial treatment regimen?

Accepted Answer

Ceftriaxone 500 mg IM once, plus doxycycline 100 mg twice daily and metronidazole 500 mg twice daily for 14 days

Answer

Metronidazole alone

Answer

Azithromycin 1 g once only

Answer

Levofloxacin monotherapy for 5 days

Answer

No antibiotics; await cultures

Practice question

A 38-year-old woman with pelvic inflammatory disease (PID), presenting with fever, pelvic pain, and cervical motion tenderness, is stable for outpatient therapy. What is the best initial treatment regimen?