{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:40:27Z","timestamp":1756377627940,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,8]]},"abstract":"<jats:p>A 55-year-old man of Indian descent, presented to the emergency department with a 2-year history of passing \u2018milky\u2019 white urine, associated with dysuria, urinary retention, bilateral flank pain and 15\u2009kg weight loss. He had migrated to Australia from India at the age of 16, with no overseas travel since, and denied having any fevers, rigours or chills. He was found to have chyluria and nephrotic-range proteinuria with marked hypoalbuminaemia and hypogammaglobulinaemia. Due to his ethnic origin and by diagnostic exclusion, a presumptive diagnosis of filariasis was made. With bilateral lymphorenal disconnection, as definitive management, the patient\u2019s chyluria and proteinuria resolved with restoration of normal plasma protein and immunoglobulin levels.<\/jats:p>","DOI":"10.1136\/bcr-2017-221114","type":"journal-article","created":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T07:25:50Z","timestamp":1507101950000},"page":"bcr-2017-221114","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Filiarial chyluria with nephrotic-range proteinuria and associated hypoalbuminaemia and hypogammaglobulinaemia secondary to bilateral lymphorenal fistulae"],"prefix":"10.1136","volume":"2017","author":[{"given":"Joseph","family":"Faraj","sequence":"first","affiliation":[{"name":"Department of Urology, Royal Perth Hospital, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Mander","sequence":"additional","affiliation":[{"name":"Department of Urology, Royal Perth Hospital, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John R","family":"Burnett","sequence":"additional","affiliation":[{"name":"Department of Clinical Biochemistry, Royal Perth Hospital, Perth, Western Australia, Australia"},{"name":"School of Medicine, University of Western Australia, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Prentice","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Royal Perth Hospital, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,4]]},"reference":[{"key":"2025082803093690000_2017.oct03_1.bcr-2017-221114.1","doi-asserted-by":"crossref","first-page":"89","DOI":"10.5694\/j.1326-5377.2004.tb05808.x","article-title":"\"Milky\" urine: a case of chyluria","volume":"180","author":"Burnett","year":"2004","journal-title":"Med J Aust"},{"key":"2025082803093690000_2017.oct03_1.bcr-2017-221114.2","doi-asserted-by":"crossref","first-page":"919","DOI":"10.5694\/j.1326-5377.1970.tb63261.x","article-title":"Filariasis in immigrants in Western Australia, including a case of chyluria recurring in seven pregnancies","volume":"2","author":"Charters","year":"1970","journal-title":"Med J Aust"},{"key":"2025082803093690000_2017.oct03_1.bcr-2017-221114.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.parint.2007.03.002"},{"key":"2025082803093690000_2017.oct03_1.bcr-2017-221114.4","first-page":"14","article-title":"Chyluria \u2013 an overview","volume":"1","author":"Sharma","year":"2009","journal-title":"Int J Nephrol"},{"key":"2025082803093690000_2017.oct03_1.bcr-2017-221114.5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.1997.d01-404.x"},{"key":"2025082803093690000_2017.oct03_1.bcr-2017-221114.6","doi-asserted-by":"crossref","unstructured":"Saha M , Ray S , Goswami M , et al . 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