do u know about sterile pyuria???
causes ?? investigation ?? anything
thanks for concerning
2007-09-08 02:47:58 · 1 answers · asked by madazizo 2 in Science & Mathematics ➔ Medicine
Sterile pyuria is usually caused by an incompletely treated urinary infection, urinary tract calculi or a transitional cell carcinoma of the bladder or upper urinary tract.
Tuberculosis is very unusual as a cause of sterile pyuria. However, if appropriate investigations fail to reveal the cause, consider urological referral and exclusion of TB by three early-morning urines for AAFBs.
TB culture shound not be the first measure in patients with sterile pyuria.-
2007-09-11 00:27:05 · answer #1 · answered by Jayaraman 7 · 1⤊ 0⤋
The one thing that comes to my mind is Kawasaki's disease in children. It is a disease of obscure cause that is accompanied by very high fever, conjunctivitis, mucocutaneous lesions and cervical adenopathy. A rash and palmar erythema are sometimes present with sweling of the hands and feet. Untreated, the child (usually under age five) may develop aneurysms of the coronary arteries.
A sterile pyuria is sometimes present. In my experience the number of WBC's in the urine is relatively small compared to what is found in an acute urinary tract infection.
Oddly enough, sterile pyuria has been described in the systemic onset of juvenile rheumatoid arthritis. (The terminology is currently undergoing change.) With this condition the child also experiences very high spiking fevers, often for weeks before the manifestations of arthritis.
2007-09-08 12:14:20 · answer #2 · answered by greydoc6 7 · 1⤊ 0⤋
Sterile pyuria in adults is a typical finding in interstitial cystitis. It may also be detected in patients with kidney stones as well as other more unusual conditions including some autoimmune disorders, fungal or viral infections of the genitourinary tract. While having a fungal or viral infection is technically not "sterile", it may appear so in routine cultures where the growth media generally favor bacteria.
2007-09-08 23:11:47 · answer #3 · answered by Anonymous · 0⤊ 0⤋
?"sterile" pyuria....pyruira is pus in the urine rendering it unsterile, needs to be treated with antibiotics but likely need to have culture done to determine what organism is causing the problem
2007-09-08 02:56:53 · answer #4 · answered by bella36 5 · 0⤊ 1⤋