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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Reason For Difference In WBC And Leukesterase Results?

On the 14th I gave a urine sample that came back with WBC of 11 and for leukesterase it said large. This was because I was having flank pain, nausea and shaky legs. The doctor said I did not have an infection. Today, on the 19th I gave another sample and the results did not note the WBC count but for leukesterase it said negative. What could account for the difference and why would my WBC be high if I do not have an infection? Thank you.
Fri, 27 Jun 2014
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Pathologist and Microbiologist 's  Response
Hi,
WBC presence of 11 is definitely urinary tract infection, unless there is a contamination during collection or in laboratory. Whenever WBC count is high, leukocyte esterase will also increase.
For confirmation of Urinary tract infection, culture might be necessary.
However, now that you have normal counts, you need not worry. Were you on any antibiotic therapy?
If more details are available between 14th and 19th like history and reports, I will be able to help you more.
Any further queries, happy to help again.
Dr. Jyothi BL
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Reason For Difference In WBC And Leukesterase Results?

Hi, WBC presence of 11 is definitely urinary tract infection, unless there is a contamination during collection or in laboratory. Whenever WBC count is high, leukocyte esterase will also increase. For confirmation of Urinary tract infection, culture might be necessary. However, now that you have normal counts, you need not worry. Were you on any antibiotic therapy? If more details are available between 14th and 19th like history and reports, I will be able to help you more. Any further queries, happy to help again. Dr. Jyothi BL