Acute Pyelonephritis: A 32-year-old female is seen in the urologist’s office because of a fever, chills, and generalized fatigue.

Case Study Scenario

A 32-year-old female is seen in the urologist’s office because of a fever, chills, and generalized fatigue. She also reported urgency, frequency, dysuria, and hematuria. In addition, she noticed that her urine was cloudy with a fishy odor. The physician ordered the following tests: a clean catch specimen for a U/A, a urine C&S, and a KUB. The U/A revealed pyuria, bacteriuria, and a slightly acidic pH. A common type of bacteria was grown in the culture. X-rays revealed acute pyelonephritis resulting from cystitis, which has spread up to the kidney from the bladder. The patient was placed on an antibiotic and encouraged to “push fluids” by drinking two liters of water a day.