An occult filarial infection presenting as chyluria with proteinuria: a case report and review of literature
- Manjari Saha1,
- Sayantan Ray1,
- Manas Goswami1,
- Supratip Kundu1,
- Puranjay Saha2,
- Avishek Saha1,
- Subhasis Maitra1,
- Arunansu Talukdar1
- 1Department of Medicine, Medical College and Hospital, Kolkata, India
- 2Department of Microbiology, Medical College and Hospital, Kolkata, India
- Correspondence to Dr Arunansu Talukdar,
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.
Competing interests None.
Patient consent Obtained.