DOI: http://dx.doi.org/10.18203/2349-3933.ijam20162536

Milky white urine: a look into the differentials

Robin George Manappallil

Abstract


Urine analysis is one the simplest means to evaluate renal diseases. Physical and chemical characteristics and microscopic examination provide information regarding the status of kidneys and urinary tracts. The colour, odour, turbidity and specific gravity are the parameters considered under physical examination of urine. This is a case of a 40 year old diabetic lady, who presented with history of dysuria and low grade fever. Her urine was milky white in colour, usually seen in chyluria. On evaluation, she was found to be in sepsis due to urinary tract infection, and her urine analysis was suggestive of pyuria. This form of white urine has rarely been reported with pyuria. This report also looks into the differential diagnosis of white coloured urine.


Keywords


White urine, Chyluria, Pyuria

Full Text:

PDF

References


Fogazzi GB. Urinalysis. In: Floege, Johnson, Feehally eds. Comprehensive Clinical Nephrology. 4th ed. Missouri: Elsevier Saunders; 2010: 39-40.

Cumming A, Payne S. The renal system. In: Douglas, Nicol, Robertson eds. Macleod’s Clinical Examination. 12th ed. China: Churchill Livingstone Elsevier; 2009: 231

Vera M, Molano A, Rodrıguez P. Turbid white urine. NDT Plus. 2010;3:45-7.

Kouri T, Fogazzi G, Gant V, Hallander H, Hofmann W, Guder WG. European urinalysis guidelines. Scand J Clin Lab Med. 2000;60(suppl 231):1-96.

Gulati S, Gupta N, Singh NP, Batra S, Garg S, Beniwal P, et al. Chyluria with proteinuria or filarial nephropathy? An enigma. Parasitol Int. 2007;56: 251-4.

Cheng JT, Mohan S, Nasr SH, D’Agati VD. Chyluria presenting as milky urine and nephrotic-range proteinuria. Kidney Int. 2006;70: 1518-22.

Akisada M, Tani S. Filarial chyluria in Japan. Lymphography, etiology and treatment in 30 cases. Radiology. 1978;90:311-7.

Gupta K, Trautner BW. Urinary Tract Infections, Pyelonephritis, and Prostatitis. In: Longo, Fauci, Kasper, Hauser, Jameson, Loscalzo eds. Harrison’s Principles of Internal Medicine. 18th ed. New Delhi: McGraw Hill; 2012: 2387-2391.

Asplin JR, Coe FL, Favus MJ. Nephrolithiasis. In: Longo, Fauci, Kasper, Hauser, Jameson, Loscalzo eds. Harrison’s Principles of Internal Medicine. 18th ed. New Delhi: McGraw Hill; 2012: 2385-6.