Fever and hematuria is mainly found in urinary system diseases, such as renal tuberculosis, acute cystitis, acute pyelonephritis, acute Glomerulonephritis, and so on. Also found in other systemic diseases of epidemic hemorrhagic fever, leptospirosis, subacute bacterial endocarditis, acute leukemia, acute Idiopathic Thrombocytopenic Purpura, allergic Purpura.
Fever and hematuria in four kinds of common diseases of urinary system identification should be as follows:
A history of renal tuberculosis outside of renal tuberculosis, slow onset, hematuria occurs before there is often a long period of low-heat, fatigue, poor is satisfied that, weight loss, night sweats and other systemic symptoms, bladder irritation and hematuria more distinct, often acidic urine;
In patients with acute cystitis and acute pyelonephritis, which always have a history of urinary tract infection, bladder irritation and discharge urine, but less hematuria see, there are kidney pain of acute pyelonephritis and tap pain;
Acute Glomerulonephritis in children with infection of Streptococcus disease often before history, no irritation of the bladder, common of hematuria, and edema and hypertension.
In these four diseases, acute cystitis, acute pyelonephritis, acute Glomerulonephritis, rely mainly on the history, signs and urine checks you can make a diagnosis. Renal tuberculosis diagnosis difficult, need to consider when TB bacteria in the urine examination and angiography diagnosis of urinary system.
Some systemic diseases also can be seen in the course of hematuria associated with symptoms of fever. Hematuria of these diseases are generally transient, and do not belong to the main symptoms. According to the systemic symptoms and laboratory checks are generally not difficult to make a diagnosis.
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