Chyluria with proteinuria or filarial nephropathy? An enigma.
Lymphatic filariasis is endemic in India. Out of 128 million infected individuals worldwide, India accounts for 48 million cases [Manson's Tropical Diseases, 21st Ed. p 1488]. Filariasis can have protean manifestations, but Tropical pulmonary eosinophilia and chyluria are unusual manifestations reported mainly from South Asian countries [Manson's Tropical Diseases, 21st Ed. p 1494]. Chyluria occurs only in 2% of filarial afflicted patients in the filarial belt [Diamond E, Schapira HE. Chyluria--a review of literature. Urology 1985;26(5): 427-31]. Lymphatic filariasis presenting as chyluria may be equally rare. Predominant chyluria with no overt lymphatic filariasis remains an enigma.
Gulati
Sameer
S
Department of Medicine, Maulana Azad Medical College, New Delhi 110002, India. drsameergulati@gmail.com
Gupta
Naresh
N
Singh
N P
NP
Batra
S
S
Garg
Sandeep
S
Beniwal
Pankaj
P
Kumar
Sachin
S
D000328:Adult; D002913:Chyle / Q000469:parasitology*; D005368:Filariasis / Q000150:complications* / Q000469:parasitology; D006801:Humans; D007674:Kidney Diseases / Q000150:complications* / Q000469:parasitology; D008297:Male; D011507:Proteinuria / Q000150:complications*; D014556:Urine / Q000737:chemistry*