Infection/starvation. White blood cells (WBC) in the urine are considered a sign of infection. WBC can be due to contamination from surrounding tissues; this is more common in women. A culture needs to be done to diagnosis infection. Ketones in the urine are considered a sign of starvation. Ketones are the result of the breakdown of cells in the body, that occurs when the cells do not have adequate energy input.
Many things. Ketones can be found in your urine related to poorly controlled diabetes, an extremely low carbohydrate diet and resulting fat metabolism, dehydration and too much alcohol. White blood cells in your urine, so called pyuria, suggests some element of inflammation along the genitourinary tract. You could see this from infections, like a UTI, or even just from physical irritation of the urethra.