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All these fungal infections may cause genitourinary infection with associated pyuria. 31 Urine microscopy may show budding yeast forms or hyphae, but identification of fungus requires special culture medium and from 3 days to 3 weeks for speciation.
In addition to pyuria, you can also have sterile pyuria ââ urine which contains white blood cells but still appears sterile, free from bacteria and microorganisms, based on culturing techniques. 1  Sterile pyuria is typically caused by sexually transmitted infections such as gonorrhea as well as viruses. It can also be the result of a reaction to medications (like acetaminophen) or other conditions like Kawasaki disease and genitourinary tuberculosis.