High blood urea nitrogen (BUN) levels alone do not specifically indicate a kidney infection. BUN levels can be elevated due to various factors, including impaired kidney function, dehydration, or other medical conditions affecting the kidneys. Kidney infections, also known as pyelonephritis, typically present with symptoms such as fever, pain in the lower back or side, frequent urination, and cloudy or bloody urine. To diagnose a kidney infection, a healthcare professional may consider clinical symptoms, perform a physical examination, and order additional tests, such as urine analysis or a urine culture, to identify the presence of bacteria in the urinary tract.