**5. Diagnosis**

Typical presentation in community-acquired urosepsis patients is triad of loin pain, fever and leukocytosis. Hospital-acquired urosepsis patients frequently manifest leukocytosis and hypotension. Urosepsis quickly complicats into septic shock with multiple organ dysfunction. One third of these patients will have septic shock with tachycardia and tachypnea and other organ dysfunctions [12]**.**
