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Recurrent Pyuria, Negative Culture
60-year-old female with recurrent abnormal urine routine tests (2–3 episodes) despite urine cultures not showing bacterial growth.
Current urine routine:
* Pus cells >120 WBC/HPF (normal 0–5)
* Leukocyte esterase 3+
* RBC 10–13/HPF
* Blood 2+
* Nitrite negative
* No crystals/casts
* No burning or other significant urinary symptoms
Previous urine test also showed 25–30 pus cells/WBC per HPF.
Current urine culture interim report shows no organism isolated so far, and similar culture-negative episodes have happened previously.
What could cause recurrent high pus cells/pyuria with negative urine cultures, and which specialist should we consult? Should this be investigated further before giving repeated antibiotics?
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Recurrent sterile pyuria needs evaluation by a urologist. Avoid repeated antibiotics until the underlying cause is identified.
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Consult to urologist for further management
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Consult urologist for further discussion
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Can be due urinary tb also,need further history and evaluation
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Dr. Jatin Soni
Urologist
5 yrs exp
Chennai
Plz consult
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Dr. Gautam Chopra
Urologist
17 yrs exp
Jalandhar
Consult for discussion and treatment
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.