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Chyluria in young child: a rare presentation

Gaurav Garg1, Apul Goel1, Sunny Goel1

  • 1Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

BMJ Case Reports
|March 18, 2018
PubMed

Insights

Chyluria, a rare childhood lymphatic filariasis complication, presents as milky urine mimicking nephrotic syndrome. This case highlights successful medical management and remission in a pediatric patient from an endemic area.

Area of Science:

  • Pediatric Nephrology
  • Infectious Diseases
  • Tropical Medicine

Background:

  • Chyluria, a chronic lymphatic filariasis manifestation, is uncommon in pediatric populations.
  • High clinical suspicion is crucial for diagnosing chyluria in children due to its resemblance to nephrotic syndrome.

Observation:

  • A 7-year-old boy from a filarial endemic region presented with characteristic milky urine.
  • Diagnostic evaluation confirmed parasitic chyluria.

Findings:

  • The pediatric patient achieved complete remission following appropriate medical management.
  • Sustained remission was observed throughout a 1-year follow-up period.

Implications:

  • This case underscores the importance of considering parasitic chyluria in the differential diagnosis of nephrotic syndrome in children from endemic regions.
  • Effective medical management can lead to favorable long-term outcomes in pediatric chyluria.

Keywords:
childhood nutritiondiet

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