A 31-year-old presents with new-onset symptoms of lower abdominal pain and abnormal vaginal discharg

A 31-year-old presents with new-onset symptoms of lower abdominal pain and abnormal vaginal discharge. Physical exam reveals tenderness over the uterus to palpation and a mucopurulent vaginal discharge. Pap and vaginal cultures are done. She has a history of levonorgestrel intrauterine system replacement three years ago. Cytology and cultures show Actinomyces israelii. What is the most effective treatment for this patient? • A. Remove IUD • B. Treat with doxycycline • C. Do nothing • D. Remove IUD and treat with penicillin Image transcription text A 31-year-old presents with new-onset symptoms of lower abdominal pain and abnormal vaginal discharge. Physical exam reveals tenderness over the … Show more

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