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Rare Cases of Filarial Chyluria in Children

Shetanshu Srivastava1, Vandana Tiwari2, Manodeep Sen3

  • 1Department of Pediatrics, Dr. Ram Manohar Lohia Institute of Medical Sciences Lucknow, Lucknow, UP, India.

International Medical Case Reports Journal
|April 7, 2022
PubMed

Insights

Lymphatic filariasis (LF) presenting as white urine is rare in children. Early diagnosis and management are crucial for favorable outcomes in pediatric cases of this parasitic infection.

Area of Science:

  • Pediatric infectious diseases
  • Parasitology
  • Urology

Background:

  • Lymphatic filariasis (LF) is a parasitic disease with a long incubation period (5-20 years), making it uncommon in children.
  • Abnormal lymphatic-urinary communication, a rare manifestation of LF, can lead to the passage of milky white urine (chyluria).
  • High index of suspicion is necessary for diagnosing pediatric LF due to subtle initial symptoms, unlike adult manifestations like lymphedema or hydrocele.

Observation:

  • This report details two pediatric cases experiencing intermittent chyluria for one year.
  • Diagnostic workup revealed elevated urine triglycerides and positive filarial antigen tests in both patients.
  • The study highlights the utility of point-of-care diagnostic tests for LF in children.

Findings:

  • Confirmed diagnosis of lymphatic filariasis in pediatric patients presenting with chyluria.
  • Successful symptom remission achieved through medical management.
  • Demonstrated the effectiveness of rapid diagnostic methods in identifying LF.

Implications:

  • Emphasizes the importance of considering LF in pediatric patients with chyluria.
  • Highlights the need for increased awareness and early detection of LF in children.
  • Suggests that prompt medical intervention can lead to positive patient outcomes.
Abstract

Keywords:
chyluriafilaria

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