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Chyluria secondary to disseminated tuberculosis in a 13-year-old female child: A case report

Mukesh Bhatta1, Rejeena Subedi1, Abhishek Shah1

  • 1Department of Pediatrics and Adolescent Medicine B.P. Koirala Institute of Health Sciences Dharan Nepal.

Clinical Case Reports
|November 29, 2023
PubMed

Insights

Tuberculosis can cause chyluria (white urine) in children, a rare condition. Prompt treatment with antitubercular drugs led to a child

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Nephrology

Background:

  • Chyluria, characterized by milky urine, is uncommon in pediatric cases.
  • Disseminated tuberculosis (TB) is a serious systemic infection.
  • Filariasis is the most common cause of chyluria globally.

Observation:

  • A 13-year-old female presented with a 5-month history of white urine, weight loss, abdominal distension, and generalized swelling.
  • Clinical symptoms included abdominal pain, progressive weight loss, and edema, suggestive of a systemic illness.

Findings:

  • The patient was diagnosed with chyluria secondary to disseminated tuberculosis.
  • Microscopic examination of urine revealed chyluria, and tuberculosis was confirmed through diagnostic workup.

Implications:

  • Tuberculosis should be considered in the differential diagnosis of pediatric chyluria, especially after ruling out filariasis.
  • Effective treatment with antitubercular drugs resulted in a favorable outcome for the child, highlighting the importance of timely intervention.

Keywords:
chylefilariasismilky urinetuberculosis

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