Question

A 26 year old newly wed bride complains of burning micturition (urination) on her honeymoon. She has Supra-Pubic tenderness (pain in her Pelvis). Her UA demonstrates:

(+) Leukocyte Esterase

Urine Culture: Staphylococus saprophyticus (bacteria)

Group of answer choices

A. Bacteremia

B. Cystitis

C. Hydronephrosis

D. Pyelonephritis

Answer 1

The correct answer is (d)cystitis

Things to be considered are:

• Newly wed young woman
• Burning micturation and supra-pubic tenderness
• Presence of leukocyte Esterase and urine culture shows presence of  Staphylococcus saprophyticus.

All this indicate to urinary tract infection(UTI). Cystitis is a type of UTI where the urinary bladder is infected by bacteria. In sexually active young woman, Staphylococcus saprophyticus infection is quite common cause of UTI. It's the second most common organism causing UTI after E.coli. Hence the answer would be cystitis.

Bacteremia is the presence of bacteria in the blood. This may or may not result in any symptoms. And if symptoms are there that would be systemic such as fever.

Hydronephrosis refers to accumulation of fluid in the kidney due to obstruction. It is not a bacterial infection.

Pyelonephritis involves bacterial infection, but it causes damage to the kidneys and the most common organisms being E.coli, proteus, klebsiella and enterobacter.