A 35-year-old woman presents with fever, flank pain and rigors. She is tachycardic and has costovertebral angle tenderness. There is no pregnancy. Acc...

Question

A 35-year-old woman presents with fever, flank pain and rigors. She is tachycardic and has costovertebral angle tenderness. There is no pregnancy. According to Australian antibiotic guidelines, which is the most appropriate initial management?

Accepted Answer

Admit for intravenous ceftriaxone and fluid resuscitation

Answer

Oral nitrofurantoin alone at home

Answer

Single-dose oral fosfomycin then review in a week

Answer

Treat with topical oestrogen cream

Answer

No antibiotics; symptoms are likely viral

au-acem MCQ (SBA): Acute pyelonephritis

A 35-year-old woman presents with fever, flank pain and rigors. She is tachycardic and has costovertebral angle tenderness. There is no pregnancy. According to Australian antibiotic guidelines, which is the most appropriate initial management?