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38 cases of urinary tract infection Misdiagnosis


Now ll cases, accounting for 28.9%. Abdominal pain of unknown origin in 5 cases, 13.2 . With hematuria as the main manifestation of 4 cases, accounting for 10.5% , the 4 cases were misdiagnosed as renal tuberculosis , so the patient must be repeatedly done hematuria bacteriological examination of urine , can not be rushed in diagnosis of lower urinary tract . In addition, urinary tract infections can also occur on the basis of renal tuberculosis , attention should be paid for 16 * this , clinicians should understand and master the urinary tract infection atypical clinical features, increased vigilance for this disease was no significant Lesions fever infection , urine should attach importance to check on suspicious persons necessary bacteriological examination, so as not to delay in diagnosis and treatment. * Category TUNNELING misdiagnosed cases signs and symptoms of diagnosed cases of mistaken diagnosis on the number of call : ... ~ s pieces of fever, fatigue, anorexia , wBc5 ~ 1. A / Hb, hematuria Xiong curse : ' Example 8 X an abdominal pain that examination of E. coli , 2 cases of deformation of gross or microscopic hematuria infected kidney . Results no fever , 3 patients had intermittently between the nuclear frequency, dysuria, lower abdominal pain are . Abdominal pain and fever 37 ~ 39 ℃. Satisfied that the reasons for poor , abdominal pain point of no fixed pressure of unknown origin , 2 cases of vomiting. Percussion pain in the waist in 3 cases of urinary protein meal with disabilities ~ +, RBC50 ~ 100个/ Hb. WBC2 ~ 10个/ Hb, urine culture : Kim from E. coli are proteins with disabilities urine t ~ +, WBC4 ~ 12个/ Hb, blood ; WBC9.0 ~ 1.07 × 1O. / L, urine culture : E. coli was detected in urine z protein disabilities , WBC5 ~ 8个/ Hb. Blood ; WBC1.3 ~ 1.4 × 100 / L. Urine culture: E. coli detected in 2.3 collect a history of not vice Xiangxi . The group, 8 patients were asked detailed medical history, suffering from cervicitis in 4 patients , 2 cases of vaginitis , and 1 prostatic hyperplasia , 1 case of polycystic kidney disease. These constitute a urinary tract infection induced factors, such as admission to detailed history of the diagnosis would be beneficial. In addition, the group of 12 cases of misdiagnosed cases in the time of admission associated with signs and symptoms of urinary tract infection , but did not think there is the possibility of urinary tract infection should be based on a comprehensive analysis of the disease in time to do urinalysis and urine bacteriology , to avoid Misdiagnosed.