A 20-year-old cisgender woman with HIV is seen in the clinic with a complaint of vaginal discharge, as well as recent pain and bleeding with receptive vaginal sex. She had condomless vaginal intercourse with a new male sex partner 1 week prior and most recently had sex 1 day ago. Pelvic examination is notable for friability of the cervix and purulent discharge at the cervical os. There are no examination findings that suggest pelvic inflammatory disease. Laboratory tests sent include a wet mount to evaluate for bacterial vaginosis and trichomoniasis and nucleic acid amplification testing (NAAT) on an endocervical swab specimen for Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis. She is not pregnant.
Which one of the following is the most appropriate initial empiric treatment for cervicitis in this woman?
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Question Last Updated
September 29th, 2023
September 29th, 2023
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