Practice question

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MediumInfectious DiseasesAcute pyelonephritisau-amcau-acem

A 28-year-old woman presents with fever, rigors, right flank pain and nausea. She has costovertebral angle tenderness and is systemically unwell but haemodynamically stable. Urinalysis is positive for nitrites and leucocytes. What is the most appropriate initial antibiotic management?

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