Filarial Chyluria as a Rare Cause of Urinary Retention

Hideharu Hagiya; Tomohiro Terasaka; Kosuke Kimura; Asuka Satou; Kikuko Asano; Koichi Waseda; Yoshihisa Hanayama; Takahide Takahashi; Michinori Aoe; Koji Iio; Toshiyuki Watanabe; Eisei Kondo; Fumio Otsuka

doi:10.2169/internalmedicine.53.2572

CASE REPORTS

Filarial Chyluria as a Rare Cause of Urinary Retention

Hideharu Hagiya, Tomohiro Terasaka, Kosuke Kimura, Asuka Satou, Kikuko Asano, Koichi Waseda, Yoshihisa Hanayama, Takahide Takahashi, Michinori Aoe, Koji Iio, Toshiyuki Watanabe, Eisei Kondo, Fumio Otsuka

Author information

Hideharu Hagiya
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Tomohiro Terasaka
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Kosuke Kimura
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Asuka Satou
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Kikuko Asano
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Koichi Waseda
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Yoshihisa Hanayama
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Takahide Takahashi
Department of Clinical Laboratory, Okayama University Hospital, Japan
Michinori Aoe
Department of Clinical Laboratory, Okayama University Hospital, Japan
Koji Iio
Department of Clinical Laboratory, Okayama University Hospital, Japan
Toshiyuki Watanabe
Department of Clinical Laboratory, Okayama University Hospital, Japan
Eisei Kondo
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
Fumio Otsuka
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan

Keywords: chyluria, diethylcarbamazine (DEC), filariasis, imported infectious disease, Wuchereria bancrofti

JOURNAL OPEN ACCESS

2014 Volume 53 Issue 17 Pages 2001-2005

DOI https://doi.org/10.2169/internalmedicine.53.2572

Details

Abstract

We herein describe a case of Wuchereria bancrofti infection in a previously healthy 37-year-old Nepalese man. The patient presented with a history of milky urine with subsequent acute urinary retention lasting for a few days. The presence of microfilariae was confirmed on both peripheral blood and urine smears obtained at midnight. He was conservatively treated with diethylcarbamazine combined with doxycycline. Filariasis was previously endemic in southern parts of Japan, although it has been eradicated. Clinicians should remember filariasis as a potential etiology of urinary retention, especially in cases that may be associated with imported infectious disease.

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