A 45-year-old female complains of lower abdominal pain and vaginal discharge. On examination, there is cervicitis along with a mucopurulent cervical discharge. The Gram smear of the discharge shows presence of abundant pus cells, but no bacteria. The best approach to isolate the possible causative agent would be:
A 45-year-old female complains of lower abdominal pain and vaginal discharge. On examination, there is cervicitis along with a mucopurulent cervical discharge. The Gram smear of the discharge shows presence of abundant pus cells, but no bacteria. The best approach to isolate the possible causative agent would be:
💡 Explanation
**Core Concept**
The patient's symptoms suggest a sexually transmitted infection (STI), with **cervicitis** and **mucopurulent cervical discharge** being key findings. The presence of **pus cells** without visible bacteria on Gram smear hints at an infection caused by an intracellular or difficult-to-stain organism.
**Why the Correct Answer is Right**
Given the clinical presentation and laboratory findings, the most likely causative agent is *Chlamydia trachomatis*, an obligate intracellular bacterium that requires cell culture or molecular techniques for detection.
**Why Each Wrong Option is Incorrect**
**Option A:** Inadequate for isolating intracellular pathogens.
**Option B:** Not suitable for *Chlamydia* isolation.
**Option D:** Insufficient for identifying the causative agent in this context.
**Clinical Pearl / High-Yield Fact**
*Chlamydia trachomatis* is a common cause of STIs, often presenting with **cervicitis** and **mucopurulent discharge** in women.
**Correct Answer:** D. Cell culture or molecular techniques, such as PCR, are best for isolating *Chlamydia trachomatis*.
✓ Correct Answer: B. Culture on McCoy cells
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