Clinical features of acute pyelonephritis in adults
Clinical features suggestive of acute pyelonephritis in adults includeBonkat, 2024:
- flank pain
- nausea and vomiting
- fever (38°C or higher)
- costovertebral angle tenderness.
Acute pyelonephritis may present with or without symptoms of acute cystitis in adults (eg acute dysuria, frequency, urgency).
Consider acute bacterial prostatitis in males1 with fever (38°C or higher), obstructive urinary symptoms or prostate tenderness on gentle digital rectal examination.