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In brief
During a routine preparticipation exam, a 17-year-old asymptomatic boy had a 1+ leukocyte esterase reaction on urinalysis. A subsequent urethral smear was positive for Chlamydia trachomatis, a pathogen that can cause urethritis or epididymitis in men and cervicitis and infertility in women. Most authorities do not consider a screening urinalysis a necessary part of the preparticipation exam because the yield of significant renal or metabolic disease is low. However, the newer dipstick strips that incorporate the leukocyte esterase test may prompt a reassessment.
Additional information
Notes on contributors
Rocky K. Khosla
Dr Khosla is a family physician with the University Family Medicine Center in Pueblo, Colorado, and a faculty member and coordinator of the sports medicine track at the Southern Colorado Family Medicine residency program. He holds a certificate of added qualification in sports medicine and is a member of the American College of Sports Medicine and a fellow of the American Academy of Family Physicians.