Marked Non-Infectious Elevation of Procalcitonin in a Hemodialysis Patient with Bladder Cancer: A Case Report

Here, we present a rare case of a sustained hemodialysis patient with bladder cancer who had the marked elevation of procalcitonin (PCT) in the absence of evidence for infection.

A patient had significantly elevated PCT but without clinical manifestations of infection. Through evidence-based investigation and collaboration with physicians, clinical pharmacists successfully ruled out infection. Consequently, antibiotics were discontinued, and the patient improved and was discharged from the hospital.

The aim is to remind clinical pharmacists and clinicians to conduct comprehensive examination and judgment when encountering similar cases to reduce the occurrence of misdiagnosis in clinical practice.