system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 28-year-old woman comes to the physician because of a 4-day history of lower abdominal pain and pain with urination. Five months ago, she was treated for gonococcal urethritis. She recently moved in with her newlywed husband. She is sexually active with her husband and they do not use condoms. Her only medication is an oral contraceptive. Her temperature is 37.5°C (99.7°F) and blood pressure is 120/74 mm Hg. There is tenderness to palpation over the pelvic region. Pelvic examination shows a normal-appearing vulva and vagina. Laboratory studies show:
Leukocyte count 8,400/mm3
Urine
pH 6.7
Protein trace
WBC 60/hpf
Nitrites positive
Bacteria positive
Which of the following is the most likely causal organism?"
assistant
Escherichia coli