Chronic Pyelonephritis Clinical Presentation

Updated: Jun 19, 2023
  • Author: James W Lohr, MD; Chief Editor: Vecihi Batuman, MD, FASN  more...
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History and Physical Examination

Some children with chronic pyelonephritis may report the following:

  • Fever
  • Lethargy
  • Nausea and vomiting
  • Flank pain or dysuria

A change in bowel or urinary frequency may be present in children with vesicoureteral reflux (VUR). [18]

The following may be noted on physical examination:

  • Hypertension
  • Failure to thrive in young children
  • Flank tenderness