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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Continuous Fever?

I am 40 years lady. I had got high fever 1 1/2 months ago and had taken antibiotic course for 5 day. That time I got the urine tested. Pus Cells. 20-30/HPF,Epithelial Cells.4-8/HPF, Micro Organism - present. But there was no growth in CULTURE Report. Repeat test is done and presently it contains Pus Cells. 15-20/HPF,Epithelial Cells.2-4/HPF, Micro Organism - present Protein - Trace. Again CULTURE shows no growth. What is its implication?
I am taking medicines for thyroid - 25 mg only. I am not experiencing any pain or burning senstation while passing urine at present or when I had got fever last time. I have the history of Urine Infection after birth of my child (caeserian) who is now aged 4 years . At that time also there was no pain or burning sensation but I had suffered from fever with bodyache.
Thu, 4 Jun 2015
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General & Family Physician 's  Response
hi
i have gone through your question and i can understand your concern about fever ant UTI.
as there is pus cell and bacteria present in urine it clears that you got a urinary track infection and your fever is also due to this.
before going to any conclusion i would like to ask you some question
1) is there is weight loss in past few days?
2) do you fell weakness?
3) is there is any person in your surrounding who is suffering from tuberculosis.

in almost all the cases of urinary track tuberculosis picture is almost same like yours.
there is puss cell
there is microorganism
there is fever
but there is nothing in culture
because tuberculosis bacteria need a special culture media for its grouth and it also take more than usual time to growth.
i will suggest you to go for a urine afb test also request for culture for M.TB.
also get a ultrasound done for your kidney

hoping this information will help you
and send the answer for my questions as soon as possible so that i can help you

Regards
Dr Arvind
Delhi India
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What To Do For Continuous Fever?

hi i have gone through your question and i can understand your concern about fever ant UTI. as there is pus cell and bacteria present in urine it clears that you got a urinary track infection and your fever is also due to this. before going to any conclusion i would like to ask you some question 1) is there is weight loss in past few days? 2) do you fell weakness? 3) is there is any person in your surrounding who is suffering from tuberculosis. in almost all the cases of urinary track tuberculosis picture is almost same like yours. there is puss cell there is microorganism there is fever but there is nothing in culture because tuberculosis bacteria need a special culture media for its grouth and it also take more than usual time to growth. i will suggest you to go for a urine afb test also request for culture for M.TB. also get a ultrasound done for your kidney hoping this information will help you and send the answer for my questions as soon as possible so that i can help you Regards Dr Arvind Delhi India