A 17 year old girl presents with a 2 day history of lower abdominal discomfort, burn in micturition & increased frequency of urination. She had her first sexual intercourse last week. Her vital signs are stable.
Examination shows supra-pubic tenderness. Urinalysis shows +ve esterase, 50+ WBC and many bacteria.
Which of the following is the most likely mechanism responsible for her clinical condition?
A- Hematogenous spread of infection.
B- Lymphatic spread of infection.
C- Sexual transmission.
D- Poor genital hygiene.
E- Ascending infection.
