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Urinalysis Done. Found Presence Of Wbc And Epithelial Cell. Should I Be Concerned?

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Posted on Fri, 19 Apr 2013
Question: Age 65 female with urinalysis testing results indicating:
WBC Esterase 3+ and WBC >30 Epithelial cells (renal) 0-10 plus casts and crystals present. tests shows all 5 items as abnormal; my doctor said everything looks the same as prior test and no medication. Should I be concerned?
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Answered by Dr. Das Arindam (29 minutes later)
Hello,

Thank you for posting a query.

Look, your urine examination report indicates WBC esterase and WBC > 30. It indicates an infection in urinary tract. Because we clinically take WBC > 5 as a cut off value for infection.

Increased renal epithelial cells also supports possibility of infection. Casts and crystals are also indicative of the same condition.

So, overall this report is very much indicative of an infection in the genitourinary tract.

You should consult with urologist for a detailed clinical examination and also for clinical correlation of the report. Because, a report is complete only when it is correlated with clinical findings.

In case of clinical suspicion of urinary tract infection, a broad spectrum antibiotic like ciprofloxacin should be taken. After completion of the antibiotic course, repeat the test.

Hope this information suffices. Let me know, if you have any more question.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Das Arindam

General & Family Physician

Practicing since :2008

Answered : 1416 Questions

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Urinalysis Done. Found Presence Of Wbc And Epithelial Cell. Should I Be Concerned?

Hello,

Thank you for posting a query.

Look, your urine examination report indicates WBC esterase and WBC > 30. It indicates an infection in urinary tract. Because we clinically take WBC > 5 as a cut off value for infection.

Increased renal epithelial cells also supports possibility of infection. Casts and crystals are also indicative of the same condition.

So, overall this report is very much indicative of an infection in the genitourinary tract.

You should consult with urologist for a detailed clinical examination and also for clinical correlation of the report. Because, a report is complete only when it is correlated with clinical findings.

In case of clinical suspicion of urinary tract infection, a broad spectrum antibiotic like ciprofloxacin should be taken. After completion of the antibiotic course, repeat the test.

Hope this information suffices. Let me know, if you have any more question.

Regards.