Feeling Fever And Chills. Urine Test Showed Abnormal Rbcs And Pus Cells. Should I Be Worried?

Posted on Fri, 26 Oct 2012

Question: through the 5th session of chemotraphy out of 6th, just made a urine test, as she had fever and chills, showed all normal except rbcs 6-8 and pus cells 1-2, should i worry or is this normail in this case.

Answered by Dr. Dr. Rakhi Tayal (38 minutes later)

Hello,
Thanks for posting your query.
Presence of pus cells around 1 to 2 per Hpf (High power field of microscope) is normal and happens due to normal routine functioning of the immune system.
When the pus cell count in urine is more than 5 per Hpf chances of urinary tract being infected has to be considered.
Presence of RBCs in urine is a co finding in urinary tract infection unless other conditions causing rbcs in urine are ruled out. The other possible reasons of passing RBCs in urine are- renal calculi, decreased platelet count causing mild bleeding, renal cancer, etc.
You can get a repeat test of urine routine after one week and if the RBCs are persistent, consider getting a USG done to find out any renal stones.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar