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A Case of a False-Positive Urine Pregnancy Test and Delayed Diagnosis of Obstructive Pyelonephritis

Patient: Female, 28-year-old Final Diagnosis: Obstructive pyelonephritis Symptoms: Dysuria • epigastric pain • flank pain Medication: — Clinical Procedure: — Specialty: General and Internal Medicine OBJECTIVE: Unusual clinical course BACKGROUND: Urine pregnancy tests are usually performed by women a...

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Autores principales: Mital, Rahul, Forster, Moriah, Alloghbi, Abdurahman, Kayyali, Ammar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7117853/
https://www.ncbi.nlm.nih.gov/pubmed/32210220
http://dx.doi.org/10.12659/AJCR.920440
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author Mital, Rahul
Forster, Moriah
Alloghbi, Abdurahman
Kayyali, Ammar
author_facet Mital, Rahul
Forster, Moriah
Alloghbi, Abdurahman
Kayyali, Ammar
author_sort Mital, Rahul
collection PubMed
description Patient: Female, 28-year-old Final Diagnosis: Obstructive pyelonephritis Symptoms: Dysuria • epigastric pain • flank pain Medication: — Clinical Procedure: — Specialty: General and Internal Medicine OBJECTIVE: Unusual clinical course BACKGROUND: Urine pregnancy tests are usually performed by women at home and also by healthcare professionals. However, there are several conditions that may cause a false-positive urine pregnancy test, including trophoblast tumors, malignancy, nephrotic syndrome, adenomyosis, tubo-ovarian abscess, and paraneoplastic syndromes. A case is presented of a false-positive urine pregnancy test in a 28-year-old woman with a history of tubal ligation, who had a delayed diagnosis of obstructive pyelonephritis due to renal calculus. CASE REPORT: A 28-year-old woman had previously been sterilized by tubal ligation. She presented with acute pyelonephritis associated with a left staghorn renal calculus and was found to have a false-positive urine pregnancy test, which delayed the diagnosis and management of her acute pyelonephritis. On follow-up, she had a negative serum pregnancy test. Abdominal computed tomography (CT) identified a left-sided staghorn calculus resulting in partial ureteric obstruction and hydronephrosis. She was treated with antibiotics, including cefazoline, and a left nephrostomy tube was sited to treat her hydronephrosis. Her pain was initially managed with acetaminophen and hydrocodone. Four days after her initial hospital admission, the patient was stable enough to go home on oral levofloxacin and pain medication. CONCLUSIONS: This case of a false-positive urine pregnancy test in a 28-year-old woman with a history of tubal ligation highlights that this association may result in the delay in the diagnosis and treatment of acute pyelonephritis.
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spelling pubmed-71178532020-04-06 A Case of a False-Positive Urine Pregnancy Test and Delayed Diagnosis of Obstructive Pyelonephritis Mital, Rahul Forster, Moriah Alloghbi, Abdurahman Kayyali, Ammar Am J Case Rep Articles Patient: Female, 28-year-old Final Diagnosis: Obstructive pyelonephritis Symptoms: Dysuria • epigastric pain • flank pain Medication: — Clinical Procedure: — Specialty: General and Internal Medicine OBJECTIVE: Unusual clinical course BACKGROUND: Urine pregnancy tests are usually performed by women at home and also by healthcare professionals. However, there are several conditions that may cause a false-positive urine pregnancy test, including trophoblast tumors, malignancy, nephrotic syndrome, adenomyosis, tubo-ovarian abscess, and paraneoplastic syndromes. A case is presented of a false-positive urine pregnancy test in a 28-year-old woman with a history of tubal ligation, who had a delayed diagnosis of obstructive pyelonephritis due to renal calculus. CASE REPORT: A 28-year-old woman had previously been sterilized by tubal ligation. She presented with acute pyelonephritis associated with a left staghorn renal calculus and was found to have a false-positive urine pregnancy test, which delayed the diagnosis and management of her acute pyelonephritis. On follow-up, she had a negative serum pregnancy test. Abdominal computed tomography (CT) identified a left-sided staghorn calculus resulting in partial ureteric obstruction and hydronephrosis. She was treated with antibiotics, including cefazoline, and a left nephrostomy tube was sited to treat her hydronephrosis. Her pain was initially managed with acetaminophen and hydrocodone. Four days after her initial hospital admission, the patient was stable enough to go home on oral levofloxacin and pain medication. CONCLUSIONS: This case of a false-positive urine pregnancy test in a 28-year-old woman with a history of tubal ligation highlights that this association may result in the delay in the diagnosis and treatment of acute pyelonephritis. International Scientific Literature, Inc 2020-03-25 /pmc/articles/PMC7117853/ /pubmed/32210220 http://dx.doi.org/10.12659/AJCR.920440 Text en © Am J Case Rep, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Mital, Rahul
Forster, Moriah
Alloghbi, Abdurahman
Kayyali, Ammar
A Case of a False-Positive Urine Pregnancy Test and Delayed Diagnosis of Obstructive Pyelonephritis
title A Case of a False-Positive Urine Pregnancy Test and Delayed Diagnosis of Obstructive Pyelonephritis
title_full A Case of a False-Positive Urine Pregnancy Test and Delayed Diagnosis of Obstructive Pyelonephritis
title_fullStr A Case of a False-Positive Urine Pregnancy Test and Delayed Diagnosis of Obstructive Pyelonephritis
title_full_unstemmed A Case of a False-Positive Urine Pregnancy Test and Delayed Diagnosis of Obstructive Pyelonephritis
title_short A Case of a False-Positive Urine Pregnancy Test and Delayed Diagnosis of Obstructive Pyelonephritis
title_sort case of a false-positive urine pregnancy test and delayed diagnosis of obstructive pyelonephritis
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7117853/
https://www.ncbi.nlm.nih.gov/pubmed/32210220
http://dx.doi.org/10.12659/AJCR.920440
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