We describe a clinical course of idiopathic chyluria in a previously healthy 8-year-old Thai boy, with a 1-year history of cloudy white urine undergoing antibiotic treatment. The patient was investigated for the causes but they all proved negative. Cystoscopy and retrograde pyelography demonstrated a renolymphatic fistula of the right kidney. The patient was refractory to a mediumchain triglyce...

6th June, 1925.?No response to quinine (grs. 5 t.d.s.) given from 2nd June, 1925, 9-30 p.m. Temperature 106?F. Intravenous injection of quinine bihydrochloride (grs. 3). 7th June, 1925.?8 a.;m. Temperature 98.6?F. Intravenous injection of quinine bihydrochloride (grs. 2i). Urine now distinctly "milky," showed marked chyluria and the microscope revealed a large number of microfilariae. The quini...