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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated WBC With Diarrhea And Vomiting?

My 6 year old has a history of vesicoureteral reflux and has had corrective surgery over 2 years ago. The last 7 months she has had symptoms of a UTI, fever, body aches, and urine analysis comes back with WBC elevated enough to diagnose as UTI but then the culture doesn't grow anything. 3 weeks ago she had a 107 fever, body aches, tested pos. for UTI then started diarrhea, vomiting. tested neg. for strep, neg for flu and blood and urine analysis show bacterial infection but neither cultures grew anything. What could be going on?
posted on Fri, 14 Mar 2014
Twitter Sat, 7 Feb 2015 Answered on
Twitter Mon, 9 Feb 2015 Last reviewed on
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
A history of fever, body aches along with presence of pus cells and bacteria in urine examination is suggestive of urinary tract infection (UTI).
The condition has to be treated as UTI and antibiotics have to be started even if the culture is negative.
Mixed infections are characterized by evidence of infection on routine urine examination and negative urine culture.
Consult your primary healthcare provider for prescription of antibiotic.

Thanks and take care
Dr Shailja Puri
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What Causes Elevated WBC With Diarrhea And Vomiting?

Hello and welcome to HCM, A history of fever, body aches along with presence of pus cells and bacteria in urine examination is suggestive of urinary tract infection (UTI). The condition has to be treated as UTI and antibiotics have to be started even if the culture is negative. Mixed infections are characterized by evidence of infection on routine urine examination and negative urine culture. Consult your primary healthcare provider for prescription of antibiotic. Thanks and take care Dr Shailja Puri