A 28-year-old woman with pelvic inflammatory disease (PID) was treated outpatient. On day 3, she has persistent fever and pain. What is the next best ...

Question

A 28-year-old woman with pelvic inflammatory disease (PID) was treated outpatient. On day 3, she has persistent fever and pain. What is the next best step?

Accepted Answer

Admit for IV therapy and evaluate for tubo-ovarian abscess

Answer

Switch to azithromycin monotherapy

Answer

Continue oral regimen; reassess in 1 week

Answer

Stop metronidazole

Answer

Immediate diagnostic laparoscopy in all cases

us-abem MCQ (SBA): PID-Treatment Failure

A 28-year-old woman with pelvic inflammatory disease (PID) was treated outpatient. On day 3, she has persistent fever and pain. What is the next best step?