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MediumNephrologyAcute pyelonephritisau-amcau-acemau-racp

A 45‑year‑old man presents with fever, flank pain and rigors. He has dysuria and feels generally unwell. On examination he is febrile at 39.2°C, heart rate 110 bpm, blood pressure 118/70 mmHg and has left costovertebral angle tenderness. There is no vomiting. According to Australian practice, what is the most appropriate initial management?

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