Pyelonephritis Kidney infection

• Facts:
  Infection of the kidneys and ureters, caused by ascending infection or hematogenous spread
  
  MC organisms ( E.coli > Proteus > Enterobacter )
• History / PE:
  Flank pain
  CVA tenderness
  Fever
  Dysuria, pyuria, bacteriuria
• Treatment:
  Levofloxacin PO 7 days (IV if pt has nausea/ vomiting )
• Complications:
  Abscess
  Renal papillary necrosis
  Renal scars
• Risk Factors:
  Vesicoureteric reflux (or incompetency)