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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?
Asked On : Wed, 5 Dec 2012
Answers:  1 Views:  45
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Nephrologist 's  Response
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.
Answered: Sat, 8 Dec 2012
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