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False positives can occur in the following conditions, where elevated TMA can be present in the urine without any underlying TMAU: Urinary tract infection [22] Bacterial vaginosis [22] Cervical cancer [22] Advanced liver or kidney disease [22] A similar foul-smelling odor of the urine has also been associated with colonization of the urinary tract with a bacterium called Aerococcus urinae , especially in children

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Kimberly Lim is a journalist covering U.S.-China relations and Southeast Asian politics