Question

A 25-year-old presents with signs of pyelonephritis: fever, flank pain, and costovertebral angle tenderness. Urinalysis confirms infection. What is the recommended initial outpatient treatment if he is systemically well?

Accepted Answer

Oral ciprofloxacin for 7 days

Answer

Oral nitrofurantoin for 3 days

Answer

IV ceftriaxone single dose then no treatment

Answer

Oral trimethoprim for 3 days

Answer

Oral amoxicillin for 5 days

Practice question

A 25-year-old presents with signs of pyelonephritis: fever, flank pain, and costovertebral angle tenderness. Urinalysis confirms infection. What is the recommended initial outpatient treatment if he is systemically well?