Hello. Just a bit of history on myself. I am a 29yo female & currently 31 weeks pregnant. I have suffered from chronic hypertension for the last 6 years. I am currently taking Procardia 60XL once per day and Lebatalol 100mg twice per day for the blood pressure. I am currently on bed rest for slowly increasing BP.
My situation is this....I have weekly prenatal visits due to being high risk and I give a urine sample at every visit. About 3 1/2 wks ago my urine test came back with trace protein, leukocyte esterase positive and 2-5 WBC'S per high power field with trace blood. I had no symptoms of a UTI but was put on a 7 day course of Macrobid to treat a UTI. The next week the tests were the same but the WBC's were now 5-10 and "few" bacteria so the doctor said he would culture the urine sample. It came back "no growth" so he told me there was no need to take the antibiotics. This past Saturday, I passed a kidney stone. I have had them before and it was not painful. The only reason why I knew I had one was because I felt a sharpness in my bladder and so I knew it was coming and strained my urine and the stone came out. The next Monday(10/15/07), I went to the doctor again. The urine sample came back trace protein again with leukocyte esterase. The MICRO test came back 10-25 WBC's, MODERATE bacteria and FEW epithelial cells. My obstetrician said that did not look good so he gave me ANOTHER 7 day course of antibiotics(Macrobid) and said he would culture the urine. Now, the confusing part for me(and my doctor does not seem to have an answer)....is why would I have 10-25 WBC's and moderate bacteria in my urine but NO growth on a culture? My doctor told me to continue the Macrobid just in case but now I am worried that my WBC's seem to keep going up every time I give a urine sample. Note as well that I am continually monitored for kidney function because of my hypertension and my tests are always normal(ie creatnine, BUN, etc etc)
Today when I was watching the Today Show on NBC, they were talking about the superbug Staph infection. I have suffered from skin boils a few years ago on the inside of my thighs and was treated with antibiotics for several months(not for a staph infection) but just in the past few weeks, I am starting to get boils on my inner thighs again.
1. Do you know what possible reasons there would be for no growth on the culture with WBC's and bacteria in urine?
2. Could there be some sort of relation with the skin boils and the fact that I have WBC's in my urine? I am concerned about a staph infection now.