A 46-year-old man presents with flank pain, fever and rigors. He has dysuria and costovertebral angle tenderness on the right. He is tachycardic and f...

Question

A 46-year-old man presents with flank pain, fever and rigors. He has dysuria and costovertebral angle tenderness on the right. He is tachycardic and febrile at 38.7°C but blood pressure is stable. What is the most appropriate empirical management?

Accepted Answer

Admit for intravenous broad-spectrum antibiotics

Answer

Oral Nitrofurantoin at home

Answer

Oral Fosfomycin single dose

Answer

No antibiotics until culture results are known

Answer

Topical antibiotics to the urethral meatus

uk-plab-1 MCQ (SBA): Acute pyelonephritis

A 46-year-old man presents with flank pain, fever and rigors. He has dysuria and costovertebral angle tenderness on the right. He is tachycardic and febrile at 38.7°C but blood pressure is stable. What is the most appropriate empirical management?