An occult filarial infection presenting as chyluria with proteinuria: a case report and review of literature.
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.
Department of Medicine, Medical College and Hospital, Kolkata, India.
Manjari
M
Saha
Sayantan
S
Ray
Manas
M
Goswami
Supratip
S
Kundu
Puranjay
P
Saha
Avishek
A
Saha
Subhasis
S
Maitra
Arunansu
A
Talukdar
D000328:Adult; D000818:Animals; D002913:Chyle; D003558:Cystoscopy; D003937:Diagnosis, Differential; D005368:Filariasis / Q000150:complications* / Q000469:parasitology / Q000652:urine; D006801:Humans; D008297:Male; D009404:Nephrotic Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000652:urine; D011507:Proteinuria / Q000175:diagnosis / Q000209:etiology* / Q000652:urine; D014958:Wuchereria bancrofti / Q000302:isolation & purification*