Acute Pyelonephritis Quiz
Reviewed By:
Maxwell J. Nanes, DO (Emergency department)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Nao Saito, MD (Urology)
After graduating from Tokyo Women's Medical University School of Medicine, Dr. Saito worked at Tokyo Women's Medical University Hospital, Toda Chuo General Hospital, Tokyo Women's Medical University Yachiyo Medical Center, and Ako Chuo Hospital before becoming Deputy Director (current position) at Takasaki Tower Clinic Department of Ophthalmology and Urology in April 2020.
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Fever then no fever then fever again
Periodic fever (>100.4°F / 38°C)
Remittent fever of 102.2°F / 39°C
Stomach was uncomfortable, then had a fever
Extremely high fever of 106.7°F / 41.5°C or higher
Fever of 100.4°F / 38°C or more for weeks
Pain in the lower back worsens when standing up
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Learn more about Acute pyelonephritis
Content updated on Sep 20, 2022
An infection of the kidney typically caused by bacteria.
Fever
History of urinary tract infection
Stomach pain or tummy ache in a specific place
Low back pain
Abdominal pain
Feeling cold or shivering
Back pain
Fever followed by abdominal / tummy pain
Your doctor may ask these questions to diagnose acute pyelonephritis
Do you have a fever?
Have you ever had a urinary tract infection?
Do you have abdominal (stomach) pain in any particular location?
Do you have pain in the lumbar back?
Do you have abdominal pain (stomach ache)?
Treatment involves antibiotics, which can be taken orally. In more severe cases, hospitalization and intravenous "drip" antibiotics may be necessary. In some instances, a procedure or surgery might be required to drain pus from the kidneys.
View the symptoms of Acute pyelonephritis
Diseases related to Acute pyelonephritis
References
Morello W, La Scola C, Alberici I, Montini G. Acute pyelonephritis in children. Pediatr Nephrol. 2016 Aug;31(8):1253-65. doi: 10.1007/s00467-015-3168-5. Epub 2015 Aug 4. PMID: 26238274.
https://link.springer.com/article/10.1007/s00467-015-3168-5
Ramakrishnan K, Scheid DC. Diagnosis and management of acute pyelonephritis in adults. Am Fam Physician. 2005 Mar 1;71(5):933-42. Erratum in: Am Fam Physician. 2005 Dec 1;72(11):2182. PMID: 15768623.
https://www.aafp.org/pubs/afp/issues/2005/0301/p933.html
Hudson C, Mortimore G. The diagnosis and management of a patient with acute pyelonephritis. Br J Nurs. 2020 Feb 13;29(3):144-150. doi: 10.12968/bjon.2020.29.3.144. PMID: 32053436.
https://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2020.29.3.144
User testimonials
Reviewed By:
Maxwell J. Nanes, DO (Emergency department)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Nao Saito, MD (Urology)
After graduating from Tokyo Women's Medical University School of Medicine, Dr. Saito worked at Tokyo Women's Medical University Hospital, Toda Chuo General Hospital, Tokyo Women's Medical University Yachiyo Medical Center, and Ako Chuo Hospital before becoming Deputy Director (current position) at Takasaki Tower Clinic Department of Ophthalmology and Urology in April 2020.
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Seiji Kanazawa, MD, PHD
Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan