Which is the most appropriate initial treatment for Acute pyelonephritis?

Answer and explanation

Correct answer: B. Antibiotics guided by urine culture

  1. Step 1: Acute pyelonephritis is treated with antibiotics guided by urine culture.
Answer
Antibiotics guided by urine culture.
Why not the others: 'Oral antibiotic without culture for all complicated cases': culture guides therapy. 'Intravenous furosemide': it does not treat infection. 'Analgesia only': infection needs antibiotics.

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