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Renal Infarction From Over-the-Counter Testosterone Booster Pills: A Case Report
1Internal Medicine, St Luke's Hospital, Chesterfield, USA.
Insights
Renal infarction diagnosis can be difficult, often mimicking other conditions. This case highlights a young male with flank pain, ultimately diagnosed with acute kidney infarction potentially linked to testosterone supplements.
Area of Science:
- Nephrology
- Urology
- Internal Medicine
Background:
- Renal infarction presents diagnostic challenges due to non-specific symptoms.
- Clinical suspicion is crucial as symptoms often overlap with more common conditions like kidney stones.
Abstract:
Renal infarction is a challenging diagnosis that usually requires a high level of clinical suspicion because its clinical presentation is often attributed to more frequent causes. Here, we present the case of a young male with right flank pain. A computed tomography (CT) of the abdomen ruled out nephrolithiasis; hence, a CT urogram was performed, which revealed an acute right kidney infarction. The patient had no personal or family history of clotting disorders. Subsequent tests for atrial fibrillation, an intracardiac shunt, and genetic causes were negative, and a presumptive diagnosis of a hypercoagulable state from over-the-counter testosterone supplements was made.
