Occurrence of asymptomatic microscopic haematuria in a filarial endemic area of Orissa, India

J Commun Dis. 2000 Jun;32(2):85-93.

Abstract

To determine the frequency of occurrence of asymptomatic microscopic haematuria in filarial endemic area of Orissa, where the mf rate and disease rate were observed to be 14.8% and 37.2% respectively, clinical examination, night blood smear examination, morning midstream urine examination were conducted on 697 persons-randomly selected from all age groups in 8 villages of Puri tehsil. Out of them, 15.6% were found to have asymptomatic haematuria (Grade I-14.7%, Grade II-0.6%, Grade-III 0.3%). The prevalence of asymptomatic microscopic haematuria was observed to have positive statistical correlation with mf status (P < 0.001), filarial antigenaemia (Ag) (P < 0.001), antibody (Ab) (P < 0.001) and circulating immunocomplex antigen (CIC-Ag) (P < 0.001). The prevalence was also found to be increased with the progression of the disease process i.e. from endemic normal to chronic manifestations. None of the cases having Grade-II and III haematuria cases revealed any gross renal pathological lesions, when subjected to special investigations like X-ray, IVP, cystoscopy and urethroscopy.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Animals
  • Child
  • Child, Preschool
  • Elephantiasis, Filarial / epidemiology*
  • Elephantiasis, Filarial / parasitology
  • Endemic Diseases*
  • Female
  • Hematuria / diagnosis
  • Hematuria / epidemiology*
  • Humans
  • India / epidemiology
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Prevalence
  • Wuchereria bancrofti / growth & development
  • Wuchereria bancrofti / isolation & purification