Case 21-vear old woman presented to the student health service of the university with a 2-day history of increasing urinary frequency with urgency and dysuria. Her urine had been pink or bloody for about 12 hours. She had no history of prior urinary tract infection (UTD. The patient had recently become sexually active and was using a diaphragm and spermicideCase 21-year old woman presented to the student health service of the university with a 2-day history of increasing urinary frequency with urgency and dysuria. Her urine had been pink or bloody for about 12 hours. She had no history of prior urinary tract infection(UTI). The patient had recently become sexually active and was using a diaphragm and spermicide