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Our study showed that urine examination positive for increased pus cells and/or red blood cells has only a moderate degree of sensitivity and specificity in detecting the urolithiasis in patients presenting with acute pain in the abdominal flank.
Laboratory investigation showed no pus cells. The patient was discharged by the gynaecologist.
The Gram stain of direct smear of the pus sample showed plenty of pus cells along with Gram-negative rods.
Pus aspirate Gram staining showed numerous pus cells and gram positive bacilli.
Urinalysis revealed a gold yellow colour; pH 5.5; specific gravity 1.020; proteins 30 mg/dl; plenty of red blood cells/High Power Field, pus cells 7-10/High Power Field.
Microscopic examination of urine sediment revealed many coarsely to finely granular casts along with large number of intact RBCs and occasional pus cells (1-2 cells per HPF).
Inclusion criteria was all adult (above 16) patients with diabetes mellitus and pyuria (more than 4 pus cells /HPF) whose urine culture report was also available.
Wet Mount: Counting of pus cells in the uncentrifuged urine was performed by using slide micrometry method (a value of 10 cells/cu mm or more corresponds to pyuria) which signifies the presence of UTI.
Urine routine examination revealed numerous pus cells. Culture and sensitivity of urine resulted in growth of E.coli, which was sensitive to ciprofloxacin.
The supernatant was discarded and a drop of the deposit was examined microscopically at high magnification for pus cells, red blood cells, epithelial cells, casts, crystals, yeast-like cells and Trichomonas vaginalis.
Gram stains revealed moderate numbers of (or ++) pus cells and the presence of fungal elements.
Inflammation means pus cells were present which made the smear difficult to read.