Chyluria is the presence of chyle in the urine and is associated with some degree of proteinuria. We report two patients with chyluria who presented with milky urine, weight loss, and edema and were found to have nephrotic-range proteinuria. Although filarial antigen was detected in only one of the patients, flexible cystoscopy could demonstrate chyle efflux from the left ureter in first patient and from both the ureters in the second patient. Both patients received endoscopic sclerotherapy with 0.2% povidone-iodine, which resulted in the clearance of milky urine in three to five days and complete resolution of nephrotic-range proteinuria on follow-up. They remained symptom-free until the six-month follow-up. We deferred renal biopsy in both patients, as proteinuria was confirmed to be non-glomerular in origin.

Cavitary lung lesions are commonly caused by Staphylococcus aureus, Klebsiella pneumoniae. Pseudomonas rarely causes such lesion. Here we report a case of cavitary pneumonia due to pseudomonas aeruginosa in the setting of catheter related blood stream infection in a 25-year-old male with crescentic IgA nephropathy who was on immunosuppressive medication.

Renal osteodystrophy is not uncommon in chronic kidney disease patients however fractures are not common among these patients. Bilateral spontaneous femoral and scapular fractures due to renal osteodystrophy are extremely uncommon. We report a case of spontaneous bilateral femoral neck fracture and left scapular neck fracture associated with secondary hyperparathyroidism in a patient of end-stage renal disease.