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urine infection, 500++ leu, no blood in urine, kidney infection ?

Hi I have a urine infection and there is 500++ leu, i have no blood in my urine its pretty much clean. Is there a possibility i might have a kidney infection?
Asked On : Thu, 22 Mar 2012
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Emergency Medicine Specialist 's  Response

Thank you for your question.

The diagnosis of a kidney infection does not rest solely on the number of leukocytes. The distinction is important because a different antibiotic would be used. Generally, we look for a fever, flank (upper, not lower back pain). to distinguish between kidney and bladder infections. Leukocytes are generally higher in a kidney infection, but not necessarily. In more severe cases, the patient would be vomiting and would need IV fluids and antibiotics.

Sometimes when a patient has leukocytes and no symptoms, doctors will not treat as the body's own defense system will take over or because the urine dip may have been inaccurate.

You did not list any symptoms. I will have to assume you are on an antibiotic and that it is working.

Hope this helps.

Carol Rogala D.O.
Answered: Thu, 22 Mar 2012
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