Question

A 29-year-old female with dysuria and flank pain, fever 38.9°C (102°F). Outpatient management planned; no allergies. Appropriate regimen for acute pyelonephritis?

Accepted Answer

Levofloxacin 750 mg orally daily for 5 days (if local resistance acceptable)

Answer

Nitrofurantoin 100 mg twice daily for 5 days

Answer

Cephalexin 500 mg four times daily for 5 days

Answer

Metronidazole 500 mg twice daily for 7 days

Answer

Fosfomycin single 3 g dose

Practice question

A 29-year-old female with dysuria and flank pain, fever 38.9°C (102°F). Outpatient management planned; no allergies. Appropriate regimen for acute pyelonephritis?