Pyuria is absent during urinary tract infections in neutropenic patients
I L M Klaassen1, V de Haas, J A E van Wijk
1Department of Pediatric Oncology-Hematology, VU Medical Center, Amsterdam, The Netherlands.
Abstract:
To investigate the diagnostic significance of a normal urine sediment in the work-up for fever of unknown origin in neutropenia. Urinary tract infection was defined as ≥10(5) urinary pathogens in the absence of another focus. Pyuria was found in only 1/23 neutropenic episodes compared to 21/31 in controls (P < 0.0001).
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