Question

A 23 year-old G1P1 delivered vaginally a 42-week infant after a prolonged induction of labor. She had an epidural, with an indwelling catheter for 36 hours and three IV sites for her intravenous medications. She now complains of lower abdominal pain, frequency and dysuria. Her vital signs are temperature 98.6°F , 37°C; pulse 70; blood pressure 100/60; and respirations 12. On examination, her lungs are clear, cardiac exam is normal, abdomen is soft, uterine fundus is firm and nontender, and she has mild suprapubic tenderness. Which of the following organisms is most likely causing her discomfort?

A. Group A streptococcus
B. Gardnerella vaginalis
C. Chlamydia trachomatis
D. Escherichia coli
E. Group B Streptococcus

Answer 1

Escherichia coli is the most likely organism causing the patient's discomfort.

Step-by-step explanation:

The most likely organism causing the patient's discomfort is Escherichia coli.

The patient's symptoms of lower abdominal pain, frequency, and dysuria are consistent with a urinary tract infection (UTI). Escherichia coli is the most common cause of UTIs, especially in young, sexually active women.