My 6 year old has a history of vesicoureteral reflux and has had corrective surgery over 2 years ago.  The last 7 months she has had symptoms of a UTI, fever, body aches, and urine analysis comes back with WBC elevated enough to diagnose as UTI but then the culture doesnt grow anything. 3 weeks ago she had a 107 fever, body aches, tested pos. for UTI then started diarrhea, vomiting. tested neg. for strep, neg for flu and blood and urine analysis show bacterial infection but neither cultures grew anything. What could be going on?
Hello and welcome to Chat Doctor, A history of fever, body aches along with presence of pus cells and bacteria in urine examination is suggestive of urinary tract infection (UTI). The condition has to be treated as UTI and antibiotics have to be started even if the culture is negative. Mixed infections are characterized by evidence of infection on routine urine examination and negative urine culture. Consult your primary healthcare provider for prescription of antibiotic. Thanks and take care Chat Doctor. 