RT Journal Article
SR Electronic
T1 Filiarial chyluria with nephrotic-range proteinuria and associated hypoalbuminaemia and hypogammaglobulinaemia secondary to bilateral lymphorenal fistulae
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2017-221114
DO 10.1136/bcr-2017-221114
VO 2017
A1 Faraj, Joseph
A1 Mander, Julian
A1 Burnett, John R
A1 Prentice, David
YR 2017
UL http://casereports.bmj.com/content/2017/bcr-2017-221114.abstract
AB A 55-year-old man of Indian descent, presented to the emergency department with a 2-year history of passing ‘milky’ white urine, associated with dysuria, urinary retention, bilateral flank pain and 15 kg weight loss. He had migrated to Australia from India at the age of 16, with no overseas travel since, and denied having any fevers, rigours or chills. He was found to have chyluria and nephrotic-range proteinuria with marked hypoalbuminaemia and hypogammaglobulinaemia. Due to his ethnic origin and by diagnostic exclusion, a presumptive diagnosis of filariasis was made. With bilateral lymphorenal disconnection, as definitive management, the patient’s chyluria and proteinuria resolved with restoration of normal plasma protein and immunoglobulin levels.