Microbiologist in the clinic: coitally related symptoms with negative urine cultures.
Antibiotics
Lower Urinary Tract Symptoms
Microbiome
Pyuria
UTI
Urobiome
Women’s Health
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
20
07
2023
accepted:
24
09
2023
medline:
28
11
2023
pubmed:
15
10
2023
entrez:
14
10
2023
Statut:
ppublish
Résumé
In this first episode of the Microbiologist in the Clinic series, clinicians and laboratory scientists share their perspectives about a 30 y/o woman, who is seeking specialty consultation for frequent episodes of urinary urgency, frequency, and dysuria, which respond to short courses of antibiotics. Although her home dipsticks suggest that she has a UTI, and her urinalysis typically has a moderate number of white blood cells, her urine cultures are always negative. The challenges of this clinical presentation are discussed with evidence for evaluation and treatment.
Identifiants
pubmed: 37837460
doi: 10.1007/s00192-023-05662-7
pii: 10.1007/s00192-023-05662-7
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2701-2704Informations de copyright
© 2023. The International Urogynecological Association.
Références
Khasriya R, Barcella W, De Iorio M, et al. Lower urinary tract symptoms that predict microscopic pyuria. Int Urogynecol J. 2018;29(7):1019–28. https://doi.org/10.1007/s00192-017-3472-7 .
doi: 10.1007/s00192-017-3472-7
pubmed: 28971220
Price T, Wolff B, Halverson T, et al. Temporal dynamics of the adult female lower urinary tract. MBio. 2020;11(2):1–14.
doi: 10.1128/mBio.00475-20
Mores CR, Price TK, Wolff B, Halverson T, Limeira R, Brubaker L, Mueller ER, Putonti C, Wolfe AJ. Genomic relatedness and clinical significance of Streptococcus mitis strains isolated from the urogenital tract of sexual partners. Microb Genom. 2021;7(3). https://doi.org/10.1099/mgen.0.000535 .