Question

A 60-year-old woman with recurrent urinary tract infections now presents with new onset confusion and flank pain. Vital signs show fever (38.5°C) and hypotension. Urinalysis is positive for nitrites and leukocyte esterase. What is the most likely diagnosis?

Accepted Answer

Pyelonephritis with possible sepsis

Answer

Lower UTI

Answer

Asymptomatic bacteriuria

Answer

Interstitial cystitis

Answer

Bladder cancer

Practice question

A 60-year-old woman with recurrent urinary tract infections now presents with new onset confusion and flank pain. Vital signs show fever (38.5°C) and hypotension. Urinalysis is positive for nitrites and leukocyte esterase. What is the most likely diagnosis?