Case history

Case history

An 18-year-old female college student with a history of prior chlamydia infection presents with low-grade fever and nonspecific lower abdominal pain. Examination reveals mild diffuse lower abdominal tenderness on deep palpation. She has cervical motion tenderness and a mucopurulent vaginal discharge on pelvic examination.

Other presentations

Presentation may vary widely. Pelvic inflammatory disease is most often seen in young, single, sexually active women with a history of sexually transmitted infections, but can also be seen in older women in monogamous relationships.[2] Symptoms include vomiting, back pain, dyspareunia, or abnormal vaginal itching or bleeding, but may be absent or minimal.[3]

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