Chyluria: a scourge of our region

Chyluria: a scourge of our region.

Chyluria is endemic in the Gangetic belt of India with an average of 90 cases treated annually at our institute. It is almost exclusively caused by Wuchereria bancrofti in tropical areas. Chylomicrons and triglycerides are lost in the urine from an abnormal lymphourinary fistula due to obstructive lymphatic stasis, most commonly at the renal pelvis. It is a distressingly recurrent condition wit...

Rasmussen's aneurysm: A forgotten scourge☆

Rasmussen's aneurysm is an inflammatory pseudo-aneurysmal dilatation of a branch of pulmonary artery adjacent to a tuberculous cavity. Life threatening massive hemoptysis from the rupture of a Rasmussen's aneurysm is an uncommon yet life threatening complication of cavitary tuberculosis (TB). We present a case of a young woman who presented with low-grade fever and hemoptysis. Computed tomograp...

NOMA: A Preventable “Scourge” of African Children

Noma is a serious orofacial gangrene originating intraorally in the gingival-oral mucosa complex before spreading extraorally to produce a visibly destructive ulcer. Although cases of noma are now rarely reported in the developed countries, it is still prevalent among children in third world countries, notably in sub-Sahara Africa, where poverty, ignorance, malnutrition, and preventable childho...

Milk Treatment of Chyluria

Microfilaruria in a Patient of Chyluria

A 38-year-old man presented with a history of passage of milky urine for the past 6 months; he had lost weight but denied dysuria and fever. Physical examination showed a thin, malnourished man weighing 52 kg and no lymphadenopathy but mild bipedal pitting edema. Urine sample showed milky-appearing urine (Figure 1A). Urinalysis showed urinary triglycerides of 167 mg/dL against serum of 84 mg/dL...