HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Do High Erythrocytes Levels Of 0.3 And Leukocyte Esterase Of 75 Indicate?

Posted on Tue, 3 Oct 2017

Question: Bence XXXXXXX protein was seen in my urine and high Erythrocytes 0.3
as well as Leukocyte Esterase 75 what does this mean 26 years old , 163 cm and 139 pounds no prior medical history

Answered by Dr. Shailja Puri (36 minutes later)

Brief Answer:
High leukocyte esterase suggests urinary tract infection, BJ protein seen in plasma cell dyscrasias.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
Bence XXXXXXX (BJ) protein is an abnormal protein which is detected in urine in case of plasma cell dyscrasias.
I suggest you to get serum protein electrophoresis and urine protein electrophoresis.
These two tests are essential to establish any diagnosis.
Presence of high leukocyte esterase in urine suggests urinary tract infection.
I suggest you to get urine culture.
urine culture will determine the organism causing urinary tract infection and the most appropriate antibiotic.
High erythrocyte can accompany infection.

In addition, I also suggest you to get a complete blood count and peripheral blood smears examination.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Shailja Puri (4 hours later)

I will ask to have those tests done but in addition i am also doing the 24 hour urine test is that even needed ? I did a complete check
Up and did all tests possible and that's when the result for immunofixtion urin said bence XXXXXXX protein has been detected clinical significance as this level unknow .. as well as the high leuk and ery was seen

Answered by Dr. Shailja Puri (35 minutes later)

Brief Answer:
24 urine protein is also relevant test in this scenario.

Detailed Answer:
Hello and welcome again,
24 urine protein is also recommended.
Bence XXXXXXX protein is not same as immunofixation.
Presence of Bence XXXXXXX proteins is an indication that all may not be normal and further investigations are required.
To make it simple for you, I will enumerate the tests which you need to take up:
1. Complete blood count and Peripheral blood smear examination
2. Serum protein electrophoresis
3. Urine protein electrophoresis
4. 24 hr urine protein
5. Urine culture

You may post the result of all these investigations when done.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Shailja Puri (43 hours later)

Here are the results of the tests I did so far other tests u told me to do I'm waiting for my specialist appointment they can order those tests only im being referred to a hematologist I have attached the results for you thank you

Answered by Dr. Shailja Puri (4 hours later)

Brief Answer:
Thanks for the test reports

Detailed Answer:
Hello and welcome again,
Thanks for posting your test reports.
You have already posted these test reports previously.
The 24 urine protein is within range.
The abnormality detected is presence of Bence XXXXXXX protein (lambda chain) in urine.
Presence of leukocyte esterase suggests urinary tract infection and thus urine culture is required.
This calls for further investigations as mentioned previously.
You need to consult your hematologist for prescription of the tests.
You may upload the reports when all tests are done.

Thanks and take care
Dr Shailja Puri

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Kampana