A syndrome caused by infection of the renal parenchyma and/or renal pelvis, often producing localized flank/back pain combined with systemic symptoms, such as fever, chills, and naus...
Fever; flank pain
Nausea ± vomiting
Dysuria, urinary frequency, urgency
Mental status changes (elderly)
In infants and children
≤7 days of treatment is equivalent to longer regimens in adults (including those with bacteremia) without urogenital abnormalities (2),(3),(4)[A].
IV antibiotics for inpatients who are toxic ...
Women: routine follow-up cultures not recommended unless symptoms recur after 2 weeks and then urologic evaluation is necessary
Men, children, adolescents, patient...
Goel RH, Unnikrishnan R, Remer EM. Acute urinary tract disorders. Radiol Clin North Am. 2015;53(6):1273–1292. [View Abstract on OvidMedline]
Noelle L. Urinary tract infections ...
N12 Tubulo-interstitial nephritis, not spcf as acute or chronic
N10 Acute tubulo-interstitial nephritis
N11.9 Chronic tubulo-interstitial nephritis, unspecified
N11.8 Other chronic tubulo-inte...
Pyelonephritis can present with isolated confusion or mental status changes (no fever) in the elderly.
The most common causes of poor response to treatment are antibiotic resistance and...
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