Urinary tract infections Quiz: Ace Your Exams

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A 26-year-old man presents to his primary care physician with penile discharge. He also reports experiencing pain with urination starting 3 days ago. Last weekend, he engaged in unprotected sexual intercourse with a new female partner. His vital signs are 37 °C (98.6.°F), pulse is 67/min, respirations are 14/min, blood pressure is 126/74 mmHg, and oxygen saturation is 99% on room air. Physical examination shows mucoid discharge at the urethral meatus. Which of the following laboratory findings is most likely to be observed in this patient?

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Urine pH 8.5

Red blood cells and positive leukocyte esterase

High white blood cell count and hyaline casts

Positive leukocyte esterase and positive nitrite

Positive leukocyte esterase with no bacteria