Hi
During the last week we received four funny looking
urines which we managed to solve the problem in 3 of
them:
1. A mucoid urine with a 1 cm debris (?stone) inside
it from a two year old girl. The 1 cm tissue was sent
for histopathological examination, solution pending.
2. A dark brown catheter urine from an 85 year-old
lady. The odour is faeculent, the microbiologist
informed us that this colour is common due to heavy
colonisation of catheter urine by bowel flora.
3. A dark reddish brown urine from a seriously ill 24
year-old lady in ITU. This proved to be due to acute
intermittent porphyria.
4. An amber coloured urine with floating small bright
yellow globules from a three year-old girl with a
febrile illness. The problem was solved by contacting
the nursing staff who informed me that the patient was
given paracetamol suppositories. The conclusion was
that these globules are paraffin wax contamination
from the suppositoris. We skimmed the floated globules
and heated them in a small pot, they immediately
melted and gave a smell of burned wax.
In all these cases, the clinicians were worried and
could not provide an explanation except for the AIP
patient.
regards.
=====
Dr. M A Al-Jubouri
Consultant Chemical Pathologist
Whiston Hospital
Prescot
Merseyside L35 5DR
UK
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