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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Acute pyelonephritis is characterised by an acute onset of pain in the loin which radiates to the iliac fossa and suprapubic area.

Other features are:

  • general systemic disturbance - sudden onset of fever, rigors, vomiting
  • urinary frequency
  • painful micturation
  • cloudy, offensive urine
  • tenderness and guarding over the kidney

In children the systemic features are predominant.

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