Question

A 33‑year‑old woman on day 2 postpartum develops costovertebral angle tenderness, fever 39.1°C (102.4°F), and pyelonephritis on urinalysis. She is hemodynamically stable. Best initial management?

Accepted Answer

Inpatient IV ceftriaxone

Answer

Outpatient oral ciprofloxacin

Answer

Nitrofurantoin for 7 days

Answer

Trimethoprim‑sulfamethoxazole outpatient

Answer

Single‑dose fosfomycin

Practice question

A 33‑year‑old woman on day 2 postpartum develops costovertebral angle tenderness, fever 39.1°C (102.4°F), and pyelonephritis on urinalysis. She is hemodynamically stable. Best initial management?