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What Do Loaded Pus Cells Indicate In A Newborn?

Posted on Fri, 13 Oct 2017

Question: What does loaded pus cell mean in five months old infant, the child is not having fever.

Answered by Dr. Pradeep Kumar Jain (37 minutes later)

Brief Answer:
Please provide further details

Detailed Answer:
Hi,
Thanks for asking on this platform,

I would like to know the specifics on which the specimen the test is showing loaded pus cells(multiple pus cells)...

Fever is a common association with pus collection anywhere in the body including urine, however, it's like that pus cells can be there without fever too.

An antibiotic treatment should be given depending on the site. Please let me know the type of specimen, why the test was performed and associated symptoms, if any so that I better able to help you out.

Awaiting...

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Pradeep Kumar Jain (5 hours later)

It's written pus cell only....which is loaded RBC occasional. ..specific gravity 1.020....deposit present ....reaction acidic....proteins traces....she got fever 5 days before ....We were asked for urine test....that the report was pus cells 30 -35.....but next day fever was gone without any medicine....so we were relaxed....We took the report to the doctor after 3 days along with the culture report...In which e. Coli was 80000...doctor said we should have shown the routine report earlier and started with the antibiotic....that day we went for another routine test before starting the medication...of which the details r sent.....she is just 5 and half months old....Wat treatment is suitable....do we need to admit her in hospital and do a 7 day course or antibiotics ll help....plzzz suggest.....

Answered by Dr. Pradeep Kumar Jain (1 hour later)

Brief Answer:
Don't worry, watch for symptoms and continue the medication

Detailed Answer:
Thanks for the details

I have gone through the details and would like to continue the antibiotic as prescribed by your doctor.The report is suggestive of urinary infection and unless there is any complication most of the time it improves with oral medication.
I won't get overly worried if there are no associated symptoms like fever,blood in urine, dribbling of urine or retention of urine.
Observe for the above symptoms along with feeding behaviour and general activity and if you notice any abnormality please consult your pediatrician for detailed evaluation and management accordingly.
As per age based recommendation baby should go for ultrasound examination of kidney, ureter and urinary bladder to find any underlying kidney disorder.
Even when baby is asymptomatic, one repeat urinary test should also be done after a week of antibiotic to see the response.

I hope this helps.
Wishing for your baby's good health.
Regards

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Above answer was peer-reviewed by : Dr. Kampana