Urinalysis · Pathology

Which of the following conditions is most likely associated with a 'fruity' odor of the urine?

  1. Urinary tract infection with Proteus species
  2. Diabetic ketoacidosis
  3. Maple syrup urine disease
  4. Phenylketonuria
Show answer and explanation

Correct answer: Diabetic ketoacidosis

Diabetic ketoacidosis leads to the accumulation of ketone bodies, specifically acetone, which is volatile and imparts a fruity or sweet odor to the urine. In contrast, Proteus infections often produce an ammonia-like smell due to urea breakdown.

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