Acute Pyelonephritis in Adults

被引：103

作者：

Johnson, James R. ^{[1
,2
]}

Russo, Thomas A. ^{[3
,4
]}

机构：

[1] Minneapolis Vet Affairs VA Hlth Care Syst, Minneapolis, MN USA

[2] Univ Minnesota, Minneapolis, MN USA

[3] Univ Buffalo State Univ New York, Buffalo, NY USA

[4] VA Western New York Hlth Care Syst, Buffalo, NY USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2018年 / 378卷 / 01期

基金：

美国国家卫生研究院;

关键词：

URINARY-TRACT-INFECTIONS; ACUTE UNCOMPLICATED PYELONEPHRITIS; DOUBLE-BLIND; TRIMETHOPRIM-SULFAMETHOXAZOLE; ANTIBIOTIC-TREATMENT; PRACTICE GUIDELINES; RANDOMIZED-TRIAL; BLOOD CULTURES; UNITED-STATES; CIPROFLOXACIN;

D O I：

10.1056/NEJMcp1702758

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An otherwise healthy 35-year-old woman presents with urinary urgency, dysuria, fever, malaise, nausea, and flank pain. During a recent trip to India, she took a fluoroquinolone for diarrhea. On examination, the temperature is 38.6 degrees C, the pulse 110 beats per minute, and the blood pressure 105/50 mm Hg; she has suprapubic and flank tenderness, without abdominal tenderness. The white-cell count is 16,500 per cubic millimeter, and the serum creatinine concentration 1.4 mg per deciliter (124 mu mol per liter) (most recent measurement before presentation, 0.8 mg per deciliter [71 mu mol per liter]). Urinalysis is positive for leukocyte esterase and nitrites. How would you evaluate and manage this case?

引用

页码：48 / 59

页数：12

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