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Pyuria information


Pyuria
White blood cells seen under a microscope from a urine sample.
Pronunciation
  • /ˌpjʊəˈrə/
SpecialtyUrology Edit this on Wikidata

Pyuria is the condition of urine containing white blood cells or pus. Defined as the presence of 6-10 or more neutrophils per high power field of unspun, voided mid-stream urine, it can be a sign of a bacterial urinary tract infection. Pyuria may be present in people with sepsis, or in older people with pneumonia. Others additionally require discoloration, clouding or change in the smell of urine for a pyuria to be present. Without these additional features, there is said to be leukocyturia.

Sterile pyuria[1] is urine which contains white blood cells while appearing sterile by standard culturing techniques. It is often caused by sexually transmitted infections, such as gonorrhea, or viruses which will not grow in bacterial cultures. Sterile pyuria is listed as a side effect from some medications such as paracetamol (acetaminophen). Its occurrence is also associated with certain disease processes, such as Kawasaki disease and genitourinary tuberculosis.[2] However, there are many known causes, including systemic or infectious disease, structural and physiological reasons, intrinsic kidney pathology, or drugs.[2]

  1. ^ Gilbert J. Wise & Peter N. Schlegel (March 12, 2015). "Sterile Pyuria". N Engl J Med. 372 (11): 1048–1054. doi:10.1056/NEJMra1410052. PMID 25760357.
  2. ^ a b Dieter RS (2000). "Sterile pyuria: a differential diagnosis". Compr Ther. 26 (3): 150–2. doi:10.1007/s12019-000-0001-1. PMID 10984817. S2CID 11629600.

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Pyuria

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gallbladder. Urinalysis may show white blood cells and protein in the urine (pyuria and proteinuria) without evidence of bacterial growth. Lumbar puncture may...

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infections (UTI) in the absence of both conventional bacterial growth and pyuria (more than 5 white blood cells per high power field). Episodes are often...

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reactions. Urinary infections can be identified including bacteriuria and pyuria. The test for nitrites is a rapid screening method for possible asymptomatic...

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aquaculture. Hypokalemia, hyponatremia, minimal proteinuria, and sterile pyuria are highly prevalent. Individuals in Mesoamerica often have hyperuricemia...

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