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Re: >Patti Tessler/ gonorrhea for years without knowing?

From: Kristina (anonymous@obgyn.net)
Tue, 20 Mar 2001 14:56:30 -0600 (CST)


At Mon, 19 Mar 2001, Patti Tessler, Family Nurse Practitioner wrote: >
>:
>>
>>,>I suspect that you might have been given a presumptive diagnosis of
>gonorrhea based on the presence of white blood cells in your vagina.
>That would explain the doctor's comment that the result could be skewed
>by recent intercourse. Presumptive diagnosis means that they're
>assuming that's your problem, but don't have proof from a good test
>(e.g. a culture that would take some time). STD clinics almost always
>give antibiotic treatment to cover gonorrhea and chlamydia when white
>blood cells are seen in the wet smear (microscopic exam of the vaginal
>discharge). You might call the clinic to ask exactly how the diagnosis
>was made - by culture? By gram-stain? By wet smear? Please write again
>when you find out. I'm very curious.
>
>I was taught that on-the-spot gram stain microscopic examination could
>diagnose gonorrhea in a man, but that diagnosis in a woman could be
>confused by other similar-looking organisms. Can another health care
>provider comment?
>
>>>>Hi! Thank you for youe replye! I called the clinic and they said it was done by wet smear.(They also sent a culture away to make sure,I'm still waiting for those results)
However I was wondering if you might be able to answer another question! I am curious as to if it is possible to have high white cells without an infection? becauses I remember having a test done for bacteria(about 1 year ago) I was told that my white cells were high but there was no infection.I did not understand,I thought you could only have high white cells if you body was fighting an infection? Thanks Kristina >--
>





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