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ModerateNephrologyAcute pyelonephritisuk-plab-1

A 62-year-old man presents with fever, flank pain and rigors. He has costovertebral angle tenderness and is systemically unwell. Urinalysis is positive for blood and leukocytes. What is the most appropriate initial antibiotic strategy in primary care if he can take oral medication and has no sepsis features?

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