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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Having History Of PUV With Bilateral Hydro Uretero Nephrosis, Vesico Uretheric Reflex. Having Elevated Pus Cells In Urine. Reason?

patient detals: Name - Aditya, 2year 3 months male Medical history: PUV with biletaral hydro uretero Nephrosys and bileteral vesico uretheric reflex (Grade v) PUV fulgarated at 40 days of age. Current Status: good Urine stream, No reflux seen in latest MCUG,and DRCG. latest GFR:57ml (last GFR=42ml 9months back).DMSA -left kindey- normal size with scar on both poles,right kidney - normal size with scar on upper pole laterally. Current problem: as part of uro dynamic study, the baby was catherized for 4hours ,day before yesterday. The urine routine examination report today revealed Pus cells= 12-14, but RBC = Nil, Epithelial cells = 0-1, Bacteria=Nil. in The same test done 3 days back , the count of pus cells was just 1-2. Please let me know the possible reason?
Sat, 8 Dec 2012
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Nephrologist,  's  Response
Hi
Thanks for the query
THe presence of pus cells in urine often suggest UTI. This is common in pts. With VUR.
A urine culture will confirm the diagnosis and depending on he results appropriate antibiotics may be given.
HOpe this helps.
Good luck.
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Child Having History Of PUV With Bilateral Hydro Uretero Nephrosis, Vesico Uretheric Reflex. Having Elevated Pus Cells In Urine. Reason?

Hi Thanks for the query THe presence of pus cells in urine often suggest UTI. This is common in pts. With VUR. A urine culture will confirm the diagnosis and depending on he results appropriate antibiotics may be given. HOpe this helps. Good luck.