A 20-year-old woman comes to the office due to dysuria, urgency and frequency. This symptoms started 2 days ago. She denied any fever or chills. She has recurrent episodes of cystitis and one epiosde of acute pyelonephritis over the past eight months. The symptoms tend to occur a few days following sexual intercourse. The patient has no other medical problems and takes no medications. Urinalysis reveals positive nitrites, positive leukocyte esterase, 50 white blood cells/hpf, and many bacteria. There is no costovertebral angle tenderness. Which of the following pathogens is most likely responsible for this patient's symptoms?

Question

A 20-year-old woman comes to the office due to dysuria, urgency and frequency. This symptoms started 2 days ago. She denied any fever or chills. She has recurrent episodes of cystitis and one epiosde of acute pyelonephritis over the past eight months. The symptoms tend to occur a few days following sexual intercourse.  The patient has no other medical problems and takes no medications.  Urinalysis reveals positive nitrites, positive leukocyte esterase, 50 white blood cells/hpf, and many bacteria. There is no costovertebral angle tenderness.  Which of the following pathogens is most likely responsible for this patient's symptoms?

Quizplus · Accepted Answer

Eductional Objective: Urinary tract infections are most common in women and are typically caused by enteric pathogens.  Escherichia coli is the leading pathogen.

A 20-Year-Old Woman Comes to the Office Due to Dysuria