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.