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MediumInfectious DiseasesAcute pyelonephritisau-amcau-acem

A 32-year-old woman presents with fever, flank pain and dysuria. She is tachycardic, febrile at 38.8 °C and has right costovertebral angle tenderness. You diagnose acute pyelonephritis. She is vomiting and unable to tolerate oral medications. What is the most appropriate initial management?

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