Virtual Morning Report - June 15, 2026 - UTI Symptoms

Approach to UTI symptoms in a young male: think about as simple as cystitis to pyelonephritis, perinephric abscess, urethritis, STIs, surrounding infection like appendicitis, colitis irritating the urinary bladder.

In patients with Crohn's, think about fistula formation between the organs causing UTI symptoms (bladder and colon). Inflammatory markers help with ongoing inflammation. Crohn's can also have association with kidney stones, causing microscopic hematuria and UTI symptoms.

CRP, procal elevation- infection/inflammation process. Procal can be elevated in a massive trauma as well. Procal will be very high in bacterial infection.

Negative urine culture with pyuria can still have a possibility of bacterial infection which could not be isolated in urine., eg: chlamydia

In immunocompromised patients, pyuria + negative bacterial culture + antibiotic failure, opens a possibility of a viral infection like adenovirus urethritis and prostatitis. Management is supportive.