A 35-year-old woman presents with fever, dysuria and flank pain. She is systemically unwell with a temperature of 39.2°C and costovertebral angle tend...

Question

A 35-year-old woman presents with fever, dysuria and flank pain. She is systemically unwell with a temperature of 39.2°C and costovertebral angle tenderness. What is the most appropriate empirical antibiotic route and setting for initial management?

Accepted Answer

Intravenous antibiotics in hospital

Answer

Oral antibiotics at home

Answer

Topical antibiotics and outpatient review

Answer

No antibiotics; hydrate only

Answer

Intramuscular benzathine penicillin and discharge

au-amc MCQ (SBA): Acute pyelonephritis

A 35-year-old woman presents with fever, dysuria and flank pain. She is systemically unwell with a temperature of 39.2°C and costovertebral angle tenderness. What is the most appropriate empirical antibiotic route and setting for initial management?