Dr.

Diana Pramono,SpKK

 pus

or too many white blood cells in the urine most normally urinary tract infections renal stones, tuberculosis, or cancer(if no infection) inflammatory response

 STI disease such as chlamydia or gonorrhea can cause white cells in the urine Other infections, such as viral infections, mycoplasma, anaerobic bacteria, fastidious bacteria, fungal infections or even tuberculosis can give white cells in the urine For males, an infection of the prostate can cause pus in the urine.
Infection

URETRITIS (MAN)

URETRITIS GO

URETRITIS NON GO

URETRITIS SPESIFIK URETRIRIS NON SPESIFIK

 SPECIFIC

Chlamydia trachomatis. Ureaplasma urealyticum Trichomonas vaginalis Jamur Herpes Simplex Adenovirus Haemophilus sp Bacteriodes urealyticum
NON

SPECIFIC

Infectionglucocorticoid medications can also cause pus or high white blood cells Some mechanical annoyance from trauma such as kidney stones can be a cause Tumors either benign or malignant can also cause white cells in the urine
Non

Symptoms which usually cause the individual to see their physician include: Cloudy urine pyuria Foul-smelling urine Frequent urgent need to urinate Discomfort / pain on urinating Fever

 MUE oedem, erythema Ectropion secret seromucous-purulent

 common

test is the urinalysis microscopic exam of the urine will detect exactly how numerous the white cells are A urine culture can also be performed to determine whether there is a bacterial infection and identify the causative organism

 Cervicitis Lower

genital tract infection Pelvic Inflammatory Disease Non Specific Genital Infection

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 asymptomatic Symptomps Risk

complication +

Factor:

Couple had STI Multiple partners Ever had STI Commercial sex workers Sexually active age

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 Symptomps:

discharge mukopurulent hypertrophic ectopia postcoital bleeding Spotting

Suspect

Cervicitis :

Cervix swab PMN > 15 Erythema, oedema, bleeding

C.

trachomatis serotype G squamous cell carcinoma (SCC)

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Severe complication of lower genital tract infection Clinical sign:

endometritis subclinic Salpingitis peritonitis pelvis Periapendisitis Perihepatitis

Laboratory Exam:
laparoscopy (gold standart) biopsy endometrium

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Minimum criteria in PID : Lower abdomen tenderness Bilateral adnexal tenderness Cervical motion tenderness No evidence of competeting dx (pregnancy, acute appendicitis)

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Treatment of high white cells or pus in the urine depends on the underlying cause If it is any infectious disease of the urinary tract, antibiotics usually are prescribed including: Norfloxacin Ampicillin Minocycline Levofloxacin Ciprofloxacin Amoxicillin Doxycycline

60-80% ASIMPTOMATIS. KELUHAN :

VAGINAL DISCHARGE DISURI INTERMENSTRUAL BLEEDING MENORRHAGIA NYERI PUNGGUNG

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