Spontaneous renal hemorrhage is an unusual complication of urinary tract infection. A 56-year-old man, diabetic with single functional kidney was admitted with fever and abdominal pain for one day. He had pyuria and an obstructed renal moiety due to a lower ureteric stone. On evaluation, he was found to have a left perirenal hemorrhage. Drainage of the obstructed system was performed and hemorr...

Asymptomatic bacteriuria or candiduria No symptoms of UTI E. coli, K. pneumoniae, other Enterobactericeae, Enterococcus spp., Candida Treatment of asymptomatic bacteriuria is generally not recommended. Pyuria alone is not an indication for treatment. If a urethral catheter is in place, removal is recommended. Treatment is recommended in the following settings: pregnancy, prior to traumatic geni...

A man in his 80s with a history of interstitial lung disease, DVT on warfarin, and chronic venous stasis came to the emergency department (ED) with swelling of his bilateral lower extremities. He had no other symptoms. A urinalysis was obtained which demonstrated pyuria and positive leukocyte esterase. His urine was sent for culture and in the meantime he was given a dose of ceftriaxone for a p...

Background We present a case of Xanthogranulomatous pyelonephritis (XGPN) in a male child with renal vein thrombus extending into the inferior vena cava. This is a rare presentation. XGPN is a rare type of renal infection characterised by granulomatous inflammation with giant cells and foamy histiocytes. The peak incidence is in the sixth to seventh decade with a female predominance. XGPN is ra...

A 60-year-old woman presented with intermittent lowgrade fever and chills for 1 month accompanied by right flank soreness, poor appetite and marked body weight loss (12 kg within 1 month). Leukocytosis (WBC = 17.75 × 109/l), normocytic anaemia (haemoglobin 6.6 g/dl) and pyuria were noted. Abdominal computed tomography (CT) showed an enlarged right kidney with dilated collecting system filled wi...

Sir, Apparently 'sterile' pyuria defined as the presence of more than 10 white cells MI-' of uncentrifuged urine with no growth on a primary isolation medium after overnight aerobic incubation is not an uncommon finding in children. Little attention has been paid to its significance and many laboratories no longer undertake urine microscopy, regarding culture as the only relevant test for infec...