Vol. 60, 1909 - University of North Carolina at Chapel Hill

A Case ol BaclIIary Infection of the ;„„ ,
Urinary Tract Treated by the • Corres u ic°^
ponding Serum and Vaccine.-Butler in ',
The London Medical Lancet, mentions the !,
ABSTRACTS. -,:.y
Iiematuria has been
^"'^'^ ^^^^ through the female side, and
" ^'^"^^'^ted on two occasions through
case of a woman ^"^
whose major
^^'^ side, m one
complaint
case the transmitting
was difBculty in holding urine and scalding "'!,"?', ^^"^f ^.^''^'^'^- I" t^'e family re-
.
pain on passing P""^^.,*^-^' Guthrie, it. .Medical
in
treatment was
which 12 members of
futile. Bacteriological examination of the tj I ° "^^'^ring two generations,
i"?,'
urine showed bacillus coli and streptococcus '"^^ hematuria was transmitted
ft, , ,
,the latter in much °".'ytbrough
larger
the
numbers.
female side.
Mixed In the six
ivaccine of
^'^"^ren
the two having
organisms was
hematuria
ordered
the condition is
^s the woman "'""'''^^ ^>' was ^"^"^^
acutely exacerbations.
ill a subcutane' There has
pus injection of 20 cubic centimeters of " ^^ ^"-^' *'^ '" "*">'
the ''T'^^
°^ '^^^ «^ases
polyvalent antistreptococcus ^' nor pain
serum
on micturition,
was
nor renal
f ,
given, without -^"'^^"'"^ss.
elTect. The
Xone of
followino- them
mornhave
suffered
ing 21) cubic centimeters more were'^mixed °"J ^''^''^' rheumatism, or gravel,
"°''
^t''^'"'
''' with normal ^">'
saline and ^^own
given as an enema
symptoms of scurvv,
and repeated in four hours, and again wUh^ ^"T"''^- °^ ^^"^'^d 's disease. There is
.ut result. In the evening 2.5 cul.ic centi- T ^'"'"""y ° .°'^'' hemorrhage in any of
beters of anticoH serum was "^?- *""t^'''«^ ^^^'s that
injected sub- ^
the condition
:utaneo„sly. and in twelve hours the tern- t%^ '^'"' '°, ^"^"g«'- ^'f^ ^^ even
perature had fallen to
^' a general rule.
nearlv •
normal The
One of the authftatient
felt better, pain over the kidney °'' ^ ""^^^^ ^''° ^"^'^^ nephritis with
I
vas lessened, and ^""^
micturition '^".^ was less fre- "?"!!:, 7*'"!'^ necessitate a very
luent and Prognosis
less painful.
for
Twelve hours later f/'^^^/^^.
the other members of
t5 cubic centimeters was given
uncertain
as an enema
whether
IK' ^l'^
these
Without result. The next dav 's cubic cen' "'^' "^- '^^''^'i'tary hematuria are of vasoimeters
was given subcntaneouslv. Again l""'"'' °"S'" or are due to structural changes
here was a drop in
'" '''^ ""^"^^ ^"''^^^
temperature and °' ''^'''^^
rdief
if pain and scalding. Twelve days after The Dillercntiatlon ol Aortic
ne Aneurysm
onset ot the acute illness the mixed vac- and Mediastinal Tumors -Tidy (
^ne was The
given and caused a slight rise of London Practitioner ) gives the followinofcmperature.
The next "
injection was given points:
JvoweeksMater. and thereafter at -a month's 1. .-Etiology. Age, sex, arteriosclerosis
Jter\ ai. J^ach injection caused a -real deal and history of syphilis and strain should be
t local pain and swelling. Kvidently the considered and valued, but it should be
;porler did not consider the ultimate fate borne in mind that this is mainly a /!>;w;7
this patient worth • recording. The fact reasoning. The history of primary growths
the prompt and pronounced improvement elsewhere is of importance.
>llowing at least two of his aiiticolic injec- 2. Cachexia is usually rapid with neoons
is suggestive. plasms. Patients with aneurysm are gen-
Congenital. .?ood general
Hereditary, condition.
and Family ^^^J'-^'"
I''''ej^"'.ar
^maluria.-.Mtken, pyrexia is
in The common with
I ondon
neo-
Medr^ i'''
M Lancet, reports seven case; of this rare '"""''"' P^'""*^ '^ ttS ^^
indition
rare
in one family which has been un- ] %, j' t
This observation for seven years The "in ''f/T'f ""^ ^ neoplasm is more
mily is ''''P"! ^l^^" '^t of
composed an aneurj^sm.
of 17 persons of' whom
have suffered from hematuria 'S ^^ Extrathorac.c glands and primary and
Uv is conflicting as to whetl e the gre!-, -
^^^°"dar>' '^'""rs elsewhere must be looked
Imother had hematuria or not she di^d ^^! ^,''''^^' s^P'-^'^Iayicular
r^'"'- ' f°^«^
. advanced age of "'se ^"^ the genital organs should be ex-
t'y vviU.
opsy. Iler only c'hild, a dauglUer, T.a!l 'Tl ""''
J' ,
maturia, married, and Pressure
had effecs
eight
are less
children
marked with
whom three are neoplasms
alive. There
than with
is no aneurysms,
eviwith
the
nee of any of those exception
wlio
of
died
those
having
connected
had
with the veninaturia.
Of thethree living °"^ '>'''^'^-
there is no
idence of the eldest son, .31 years of '• ^^''^h
age, neoplasms, involvement of the
ying ever had hematuria, '
but his six
recurrent laryngeal nerve is rare, and traildren
have all been hematuric; '^''^^^
the sec- tugging very rare. Paralysis of the
a son, aged 28, has suffered from hema- Phrenic nerve, leading to immobility of
ia, and also his only
"'^ diaphragm on
child
the affected side, is aged two not
irs. The daughter, ^^^P^^'^''^' i" neoplasms of the
a-ed a^ea ^3'vears .s years, and l'"^''"'^?'
lu,,^. This never
hnarried I„ .
occurs with
married,
aneurysms,
has J, hematuria. It ,s interest- 8. Tbe'sputum is scanty with neoplasms,