Question

Patient has an asymptomatic *mucopurulent cervicitis* that will need to be treated, but the likely causative organism(s) cannot be isolated - how should you proceed with treatment?

Answer 1

To treat an asymptomatic mucopurulent cervicitis when the likely causative organism(s) cannot be isolated, consider the common pathogens associated with cervicitis and their recommended treatments. Azithromycin or doxycycline are commonly used for Chlamydia trachomatis, while doxycycline, azithromycin, and moxifloxacin are effective against Mycoplasma genitalium.

Step-by-step explanation:

To treat an asymptomatic mucopurulent cervicitis when the likely causative organism(s) cannot be isolated, it is important to consider the common pathogens that cause cervicitis. Chlamydia trachomatis, Mycoplasma genitalium, Ureaplasma urealyticum, and Mycoplasma hominis are important bacterial pathogens associated with cervicitis. The recommended treatment for C. trachomatis is azithromycin or doxycycline, while M. genitalium is susceptible to doxycycline, azithromycin, and moxifloxacin. In case the causative organism cannot be identified, a combination therapy with these antibiotics might be considered.