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MediumInfectious DiseasesAcute pyelonephritisau-amcau-acem

A 34-year-old woman presents with fever, flank pain and vomiting. She has costovertebral angle tenderness and is tachycardic. Urinalysis shows leukocytes and nitrites. She is unable to tolerate oral fluids. What is the most appropriate initial management?

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