A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate Sclerotherapy
Chyluria has become a rare clinical presentation in Sri Lanka, which may have a direct correlation with the low prevalence of lymphatic filariasis following the use of diethylcarbamazine and albendazole mass drug administration (MDA) for five rounds between 2002 and 2006. Here we report a 50-year-ol...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2020/8853473 |
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| author | M. Sivashankar A. C. N. Nandasena |
| author_facet | M. Sivashankar A. C. N. Nandasena |
| author_sort | M. Sivashankar |
| collection | DOAJ |
| description | Chyluria has become a rare clinical presentation in Sri Lanka, which may have a direct correlation with the low prevalence of lymphatic filariasis following the use of diethylcarbamazine and albendazole mass drug administration (MDA) for five rounds between 2002 and 2006. Here we report a 50-year-old male who presented with milky urine and progressive weight loss, diagnosed as having nonparasitic chyluria. The patient was initially managed with a trail of diethylcarbamazine (DEC) 6 mg/kg/day for 21 days and a low-fat diet with an unsatisfactory response. Subsequent management with endoscopic instillation of 0.5% silver nitrate brought in him a quick response, which was maintained for a year. Endoscopic sclerotherapy is considered a safer, effective and a minimally invasive treatment option for symptomatic patients. |
| format | Article |
| id | doaj-art-eafcf841bfcf475b9f29c5fbdc133690 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-eafcf841bfcf475b9f29c5fbdc1336902025-02-03T06:43:44ZengWileyCase Reports in Urology2090-696X2090-69782020-01-01202010.1155/2020/88534738853473A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate SclerotherapyM. Sivashankar0A. C. N. Nandasena1Department of Urology, Colombo North Teaching Hospital, Ragama, Sri LankaDepartment of Urology, Colombo North Teaching Hospital, Ragama, Sri LankaChyluria has become a rare clinical presentation in Sri Lanka, which may have a direct correlation with the low prevalence of lymphatic filariasis following the use of diethylcarbamazine and albendazole mass drug administration (MDA) for five rounds between 2002 and 2006. Here we report a 50-year-old male who presented with milky urine and progressive weight loss, diagnosed as having nonparasitic chyluria. The patient was initially managed with a trail of diethylcarbamazine (DEC) 6 mg/kg/day for 21 days and a low-fat diet with an unsatisfactory response. Subsequent management with endoscopic instillation of 0.5% silver nitrate brought in him a quick response, which was maintained for a year. Endoscopic sclerotherapy is considered a safer, effective and a minimally invasive treatment option for symptomatic patients.http://dx.doi.org/10.1155/2020/8853473 |
| spellingShingle | M. Sivashankar A. C. N. Nandasena A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate Sclerotherapy Case Reports in Urology |
| title | A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate Sclerotherapy |
| title_full | A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate Sclerotherapy |
| title_fullStr | A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate Sclerotherapy |
| title_full_unstemmed | A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate Sclerotherapy |
| title_short | A Patient with Milky Urine: Nonparasitic Chyluria and Silver Nitrate Sclerotherapy |
| title_sort | patient with milky urine nonparasitic chyluria and silver nitrate sclerotherapy |
| url | http://dx.doi.org/10.1155/2020/8853473 |
| work_keys_str_mv | AT msivashankar apatientwithmilkyurinenonparasiticchyluriaandsilvernitratesclerotherapy AT acnnandasena apatientwithmilkyurinenonparasiticchyluriaandsilvernitratesclerotherapy AT msivashankar patientwithmilkyurinenonparasiticchyluriaandsilvernitratesclerotherapy AT acnnandasena patientwithmilkyurinenonparasiticchyluriaandsilvernitratesclerotherapy |