An occult filarial infection presenting as chyluria with proteinuria: a case report and review of literature. (1st June 2012)

• Record Type: Journal Article
• Authors: Saha, Manjari; Ray, Sayantan; Goswami, Manas; Kundu, Supratip; Saha, Puranjay; Saha, Avishek; Maitra, Subhasis; Talukdar, Arunansu
• Is Part Of: BMJ case reports. Volume 2012
• Publication Date: 2012-06-01
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.01.2012.5635
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Chyluria is the passage of chyle into urine, and develops as a result of communication between the lymphatic system and the urinary system. It is an unusual manifestation of lymphatic filariasis reported mainly from South Asian countries. We report the case of a 38-year-old man from an endemic area who presented with passage of milky urine. Physical examination did not reveal any lymphadenopathy or lymph oedema. Urine tests revealed nephrotic range proteinuria. A 99m technetium sulphur colloid lymphoscintigraphy confirmed connection between lymphatic vessels and the urinary tract. Predominant chyluria with no overt lymphatic filariasis remains an enigma.