A 19 year old woman has worsening vaginal discharge and bilateral iliac fossa pain for 3 days

A 19 year old woman has worsening vaginal discharge and bilateral iliac fossa pain for 3 days. Her vaginal discharge is foul smelling and she has dyspareunia. She is feverish and feels unwell.

Her temperature is 39.0°C.

Which combination of organisms are most likely to cause these symptoms?

  1. Candida albicans and Gardnerella vaginalis
  2. Chlamydia trachomatis and Candida albicans
  3. Neisseria gonorrhoeae and Chlamydia trachomatis
  4. Neisseria gonorrhoeae and Gardnerella vaginalis
  5. Trichomonas vaginalis and Candida albicans

C. Neisseria gonorrhoeae and Chlamydia trachomatis

Explanation:

PHE Guidance: Pelvic inflammatory disease in England
Reports on diagnoses of pelvic inflammatory disease (PID) in general practice (GP) and hospital inpatient admissions in England.