2 Days Of Severe in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#10992

SMLE Question #10992

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 24-year-old sexually active woman presents with 2 days of severe lower abdominal pain, fever, and purulent cervical discharge. Pelvic examination shows marked cervical motion tenderness and bilateral adnexal tenderness. She is admitted with presumed acute salpingitis and started on intravenous ceftriaxone monotherapy. After 48 hours, she has persistent fever and pelvic pain without clinical improvement. Which organism is the most likely cause?

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