Macroscopic White Blood Cell Casts: An Extremely Rare Presentation of Klebsiella Pyelonephritis

Authors

  • Larry B. Mellick Department of Emergency Medicine, University of South Alabama, USA
  • Kimberly M. Rathbun Department of Emergency Medicine, University of South Alabama, USA

DOI:

https://doi.org/10.17140/EMOJ-6-157

Keywords:

Acute pyelonephritis, White blood cell casts, Urinary tract infections, Urinary tract infection (UTI), Ureteral casts

Abstract

In this case report, we present a patient with severe pyelonephritis who presented complaining of passing worm-like tissue from his penis. This patient was passing macroscopic ureteral white blood cell casts resulting from a severe pyelonephritis caused by Klebsiella pneumoniae.

References

Czaja CA, Scholes D, Hooton TM, Stamm WE. Population-based epidemiologic analysis of acute pyelonephritis. Clin Infect Dis. 2007; 45(3): 273-280. doi: 10.1086/519268

Ringsrud KM. Casts in the urine sediment. Lab Med. 2001; 32(4): 191-193. doi: 10.1309/KJ5E-V5FE-MAHR-KXT2

White JA. A case of renal colic attended by the passage of casts of the ureter (Ureteritis Membranacea). Br Med J. 1901; 1(2088): 14-15. doi: 10.1136/bmj.1.2088.14-a Case Report | Volume 6 | Number 1 |

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Published

2020-12-21

How to Cite

Larry B. Mellick, & Kimberly M. Rathbun. (2020). Macroscopic White Blood Cell Casts: An Extremely Rare Presentation of Klebsiella Pyelonephritis. Emergency Medicine, 6(1), 9–10. https://doi.org/10.17140/EMOJ-6-157

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