Chyluria in young child: a rare presentation
Chyluria, a chronic manifestation of lymphatic filariasis, is rare in children. Clinicians must have a high index of suspicion to diagnose this condition in children as it mimics nephrotic syndrome. We present an unusual case in which a 7-year-old boy hailing from a filarial endemic region presented...
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| Published in | BMJ case reports Vol. 2018; p. bcr-2017-223516 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BMJ Publishing Group LTD
16.03.2018
BMJ Publishing Group |
| Series | Case Report |
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| Abstract | Chyluria, a chronic manifestation of lymphatic filariasis, is rare in children. Clinicians must have a high index of suspicion to diagnose this condition in children as it mimics nephrotic syndrome. We present an unusual case in which a 7-year-old boy hailing from a filarial endemic region presented with a passage of milky urine, which on evaluation was diagnosed as parasitic chyluria. The child showed remission after medical management that persisted until 1 year of follow-up. |
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| AbstractList | Chyluria, a chronic manifestation of lymphatic filariasis, is rare in children. Clinicians must have a high index of suspicion to diagnose this condition in children as it mimics nephrotic syndrome. We present an unusual case in which a 7-year-old boy hailing from a filarial endemic region presented with a passage of milky urine, which on evaluation was diagnosed as parasitic chyluria. The child showed remission after medical management that persisted until 1 year of follow-up. |
| Author | Goel, Apul Singh, Manmeet Garg, Gaurav Goel, Sunny |
| AuthorAffiliation | Department of Urology , King George’s Medical University , Lucknow , Uttar Pradesh , India |
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| Copyright | BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. Copyright: 2018 © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2018 |
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| References | Diamond, Schapira 1985; 26 Jung, Koo, Kim 2006; 49 HASHIM, ROHOLT, Babayan 1964; 270 Onyeije, Sherer, Trambert 1997; 90 McNeil, Corbett, Kuruvilla 2008; 72 Lang, Redetzki, Brown 1972; 108 Ganesh, Rao, D’Cruz 2007; 3 Stalens, Falk, Howmann-Giles 1992; 151 Ansari 2005; 21 1984; 702 Kaul, Bhadhuria, Bhat 2012; 32 McCray, Parrish 2004 Das, Sirvidya, Vanamail 1997; 91 Kohli, Gulati, Kumar 1994; 31 (key-10.1136/bcr-2017-223516-2) 1984; 702 McCray (key-10.1136/bcr-2017-223516-14) 2004 HASHIM (key-10.1136/bcr-2017-223516-15) 1964; 270 Ansari (key-10.1136/bcr-2017-223516-16) 2005; 21 Lang (key-10.1136/bcr-2017-223516-1) 1972; 108 Kaul (key-10.1136/bcr-2017-223516-7) 2012; 32 Kohli (key-10.1136/bcr-2017-223516-10) 1994; 31 Onyeije (key-10.1136/bcr-2017-223516-6) 1997; 90 McNeil (key-10.1136/bcr-2017-223516-12) 2008; 72 key-10.1136/bcr-2017-223516-4 Das (key-10.1136/bcr-2017-223516-8) 1997; 91 Diamond (key-10.1136/bcr-2017-223516-5) 1985; 26 Jung (key-10.1136/bcr-2017-223516-11) 2006; 49 World Health Organization (key-10.1136/bcr-2017-223516-3) 2007 Ganesh (key-10.1136/bcr-2017-223516-13) 2007; 3 Stalens (key-10.1136/bcr-2017-223516-9) 1992; 151 |
| References_xml | – volume: 91 start-page: 677 year: 1997 article-title: Wuchereria bancrofti microfilaraemia in children in relation to parental infection status publication-title: Trans R Soc Trop Med Hyg doi: 10.1016/S0035-9203(97)90521-6 contributor: fullname: Vanamail – volume: 3 start-page: 63 year: 2007 article-title: Successful laparoscopic management of unilateral chyluria in a 5 year old publication-title: J Pediatr Urol doi: 10.1016/j.jpurol.2006.02.003 contributor: fullname: D’Cruz – start-page: 60 year: 2004 article-title: When chyle leaks: nutrition management options publication-title: Practical Gastroenterology contributor: fullname: Parrish – volume: 72 start-page: 545 year: 2008 article-title: Metanephric adenoma in a five-year-old boy presenting with chyluria: case report and review of literature publication-title: Urology doi: 10.1016/j.urology.2008.04.010 contributor: fullname: Kuruvilla – volume: 49 start-page: 326 year: 2006 article-title: A case of a child with non-parasitic chyluria publication-title: Korean J Pediatr doi: 10.3345/kjp.2006.49.3.326 contributor: fullname: Kim – volume: 26 start-page: 427 year: 1985 article-title: Chyluria--a review of the literature publication-title: Urology doi: 10.1016/0090-4295(85)90147-5 contributor: fullname: Schapira – volume: 108 start-page: 321 year: 1972 article-title: Lymphangiographic demonstration of lymphaticocaliceal fistulas causing chyluria (filariasis) publication-title: J Urol doi: 10.1016/S0022-5347(17)60727-4 contributor: fullname: Brown – volume: 31 start-page: 451 year: 1994 article-title: Filarial chyluria publication-title: Indian Pediatr contributor: fullname: Kumar – volume: 32 start-page: 593 year: 2012 article-title: Chyluria: a mimicker of nephrotic syndrome publication-title: Ann Saudi Med doi: 10.5144/0256-4947.2012.593 contributor: fullname: Bhat – volume: 90 start-page: 699 year: 1997 article-title: Nonfilarial chyluria during pregnancy publication-title: Obstet Gynecol doi: 10.1016/S0029-7844(97)00243-3 contributor: fullname: Trambert – volume: 270 start-page: 756 year: 1964 article-title: Treatment of chyluria and chylothorax with medium-chain triglyceride publication-title: N Engl J Med doi: 10.1056/NEJM196404092701502 contributor: fullname: Babayan – volume: 151 start-page: 61 year: 1992 article-title: "Milky" urine--a child with chyluria publication-title: Eur J Pediatr contributor: fullname: Howmann-Giles – volume: 21 start-page: 24 year: 2005 article-title: Medical treatment of filariasis and chyluria publication-title: Indian Journal of Urology doi: 10.4103/0970-1591.19546 contributor: fullname: Ansari – volume: 702 start-page: 3 year: 1984 article-title: Lymphatic filariasis. Fourth report of the WHO expert committee on filariasis publication-title: World Health Organ Tech Rep Ser – volume: 91 start-page: 677 year: 1997 ident: key-10.1136/bcr-2017-223516-8 article-title: Wuchereria bancrofti microfilaraemia in children in relation to parental infection status publication-title: Trans R Soc Trop Med Hyg doi: 10.1016/S0035-9203(97)90521-6 contributor: fullname: Das – volume: 90 start-page: 699 year: 1997 ident: key-10.1136/bcr-2017-223516-6 article-title: Nonfilarial chyluria during pregnancy publication-title: Obstet Gynecol doi: 10.1016/S0029-7844(97)00243-3 contributor: fullname: Onyeije – volume: 32 start-page: 593 year: 2012 ident: key-10.1136/bcr-2017-223516-7 article-title: Chyluria: a mimicker of nephrotic syndrome publication-title: Ann Saudi Med doi: 10.5144/0256-4947.2012.593 contributor: fullname: Kaul – volume: 151 start-page: 61 year: 1992 ident: key-10.1136/bcr-2017-223516-9 article-title: "Milky" urine--a child with chyluria publication-title: Eur J Pediatr doi: 10.1007/BF02073895 contributor: fullname: Stalens – ident: key-10.1136/bcr-2017-223516-4 – volume: 270 start-page: 756 year: 1964 ident: key-10.1136/bcr-2017-223516-15 article-title: Treatment of chyluria and chylothorax with medium-chain triglyceride publication-title: N Engl J Med doi: 10.1056/NEJM196404092701502 contributor: fullname: HASHIM – volume: 702 start-page: 3 year: 1984 ident: key-10.1136/bcr-2017-223516-2 article-title: Lymphatic filariasis. 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| SubjectTerms | Abdomen Blood Body mass index Case reports Child Childrens health Chyle Diet Diet, Fat-Restricted Diethylcarbamazine - therapeutic use Edema Elephantiasis, Filarial - complications Elephantiasis, Filarial - therapy Filaricides - therapeutic use Fruits Humans India Laparoscopy Lymphedema Male Medical diagnosis Parasitic diseases Treatment Outcome Triglycerides Unusual Presentation of More Common Disease/Injury Urine Urology Vitamin deficiency |
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| Title | Chyluria in young child: a rare presentation |
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