Overview Acute pyelonephritis, or upper urinary tract infection, is an infection of the kidney characterised by pain when passing urine, fever, chills, flank pain, nausea, and vomiting. White blood cells are almost always present in the urine. White blood cell casts are occasionally seen on urine microscopy. What's the difference between pyelonephritis and kidney infection? A kidney infection is a type of urinary tract infection (UTI). A kidney infection may begin in the tube that carries urine from the body (urethra) or in the bladder. The infection can travel to one or both kidneys. A kidney infection is also called pyelonephritis. What are the symptoms? Symptoms usually appear within two days of infection. Common symptoms include: 1. a fever greater than 102°F (38.9°C) 2. pain in the abdomen, back, side, or groin 3. painful or burning urination 4. cloudy urine 5. pus or blood in the urine 6. urgent or frequent urination 7. fishy-smelling urine Other symptoms can include: 1. shak...