Sorry about the late post today!
These ghoulish crystals are seen in an alkaline urine of a patient with dysuria.
Challenge: What organism(s) do you expect?
Image shown under Fair Use.
Thursday, August 19, 2010
Subscribe to:
Post Comments (Atom)
4 comments:
calcium oxalate cristals
Struvite crystals are found in alkaline urine, typically in the setting of an UTI caused by an urease positive bacteria. Consider Proteus, Klebsiella, S. sapro, and Ureaplasma.
Struvite crystals- Proteus mirabilis
ah yes, the crystal differential..this does happen to be struvite! i had a previous case before that had calcium oxalate (also a great image)
-
Gem
"Coffin-lid" struvite (magnesium phosphate) crystals are associated with urea-splitting bacteria such as Proteus or Klebsiella.
Sources: UpToDate; meded.ucsd.edu.
Post a Comment