Identification of Amoxicillin Crystals in Urine: a Case Report.


Journal

Clinical laboratory
ISSN: 1433-6510
Titre abrégé: Clin Lab
Pays: Germany
ID NLM: 9705611

Informations de publication

Date de publication:
01 Mar 2020
Historique:
entrez: 13 3 2020
pubmed: 13 3 2020
medline: 17 12 2020
Statut: ppublish

Résumé

The case concerns a 30-year-old woman in the 24th week of pregnancy presenting to the medical emergency room with fever and abdominal pain. Urine sediment microscopy revealed the presence of unknown needle-shaped crystals. Crystals identification was performed by Fourier-Transform Infrared Spectroscopy coupled to Attenuated Total Reflectance (FTIR-ATR). Amoxicillin crystals were verified with semiquantitative results of 87.7%. Drug-induced crystalluria is a frequent finding in urine examination and it may be asymptomatic. FTIR spectroscopy is a rapid and specific tool in identification of crystals and could be useful supporting renal disease diagnosis and monitoring drug therapy.

Sections du résumé

BACKGROUND BACKGROUND
The case concerns a 30-year-old woman in the 24th week of pregnancy presenting to the medical emergency room with fever and abdominal pain. Urine sediment microscopy revealed the presence of unknown needle-shaped crystals.
METHODS METHODS
Crystals identification was performed by Fourier-Transform Infrared Spectroscopy coupled to Attenuated Total Reflectance (FTIR-ATR).
RESULTS RESULTS
Amoxicillin crystals were verified with semiquantitative results of 87.7%.
CONCLUSIONS CONCLUSIONS
Drug-induced crystalluria is a frequent finding in urine examination and it may be asymptomatic. FTIR spectroscopy is a rapid and specific tool in identification of crystals and could be useful supporting renal disease diagnosis and monitoring drug therapy.

Identifiants

pubmed: 32162882
doi: 10.7754/Clin.Lab.2019.190606
doi:

Substances chimiques

Anti-Bacterial Agents 0
Amoxicillin 804826J2HU

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Auteurs

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Classifications MeSH