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  • Title: An occult filarial infection presenting as chyluria with proteinuria: a case report and review of literature.
    Author: Saha M, Ray S, Goswami M, Kundu S, Saha P, Saha A, Maitra S, Talukdar A.
    Journal: BMJ Case Rep; 2012 Jun 01; 2012():. PubMed ID: 22669920.
    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.
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