Pott's disease in pregnancy - The University of Chicago Department ...

This patient’s clinical findings are compatible with pelvic inflammatory disease (PID), and
she should receive intramuscularly delivered ceftriaxone and oral doxycycline.
PID is a polymicrobial infection of the endometrium, fallopian tubes, and ovaries;
diagnosis is based on the presence of abdominal discomfort, uterine or adnexal
tenderness, or cervical motion tenderness.
Other diagnostic criteria include temperature higher than 38.3 °C (101.0 °F), cervical or
vaginal mucopurulent discharge, leukocytes in vaginal secretions, and documentation of
gonorrheal or chlamydial infection.
PID is most likely to occur within 7 days of the onset of menses. All women with
suspected PID should be tested for infection with gonorrhea and chlamydia and undergo
pregnancy testing. In severe cases, imaging should be performed to exclude a tuboovarian
abscess. Ambulatory patients are treated with ceftriaxone and doxycycline with
or without metronidazole.
Duration of treatment is 14 days. Patients with PID should be hospitalized if there is (1)
no clinical improvement after 48 to 72 hours of antibiotics; (2) an inability to tolerate oral
antibiotics; (3) severe illness with nausea, vomiting, or high fever; (4) suspected intraabdominal
abscess; (4) pregnancy; or (5) noncompliance with outpatient therapy.