Dev Nishanth, Kumar Rahul
Department of Medicine, ESIC Medical College, Faridabad, Haryana, India.
Department of Medicine, VMMC and Safdarjung Hospital, New Delhi, India.
Int J Mycobacteriol. 2018 Jul-Sep;7(3):282-284. doi: 10.4103/ijmy.ijmy_101_18.
Chyluria is described as passage of chyle in the urine. It results from the formation of lymphaticorenal fistulae due to various etiologies. The most common implicated cause is filariasis especially in endemic areas. Other uncommon causes include thoracic duct trauma or anatomical abnormalities, pregnancy, malignancy, and tuberculosis. Although tuberculosis has been included as a cause, there are only a few case reports suggesting it as an etiology. Tuberculosis can present in various ways. However, chyluria as initial presentation of tuberculosis has never been reported in the literature. We present, here, an extremely rare case of disseminated tuberculosis involving lung, lymph nodes, liver, intestine, and spine presenting as chyluria. The patient responded dramatically with antituberculous therapy with complete clearing of urine.
乳糜尿被描述为尿液中出现乳糜。它是由各种病因导致淋巴肾瘘形成所致。最常见的相关病因是丝虫病，尤其是在流行地区。其他不常见的病因包括胸导管创伤或解剖异常、妊娠、恶性肿瘤和结核病。虽然结核病被列为病因之一，但仅有少数病例报告提示其为病因。结核病可表现为多种形式。然而，乳糜尿作为结核病的首发表现从未在文献中报道过。在此，我们报告一例极其罕见的播散性结核病，累及肺、淋巴结、肝、肠和脊柱，表现为乳糜尿。患者接受抗结核治疗后反应显著，尿液完全澄清。
