SCARLET FEVER. Synonyms.—Scarlatina; Scarlet Rash. Definition ...

Tuberculosis of the Kidney.—Tubercular nephritis is that condition
where the tubercle bacilli develop in the inflammatory products,
resulting in the formation of tubercular tissue. The inflammation
usually begins in the mucous membrane of the pelvis and calices,
gradually extending to the parenchyma, till more or less of the organ is
replaced by the degenerated material. The tubercle may caseate and
soften, or calcification may occur, the intervening space being converted
into fibrous tissue. The other kidney is very apt to become involved, if
not tuberculous, at least by a low form of nephritis and more or less of
degeneration of its tissue and blood-vessels. Tubercular nephritis may
be complicated by tuberculosis of other parts of the genito-urinary tract,
by tuberculosis of the peritoneum, or, in fact, by tuberculosis of any
other part of the system.
Symptoms.—The urine is more or less scanty, and contains, at
different times, blood, pus, epithelium, tubercle bacilli, and, when the
other kidney is the seat of chronic nephritis, albumen and casts are
present. Pain of a dull, aching character over the affected organ may be
constant, or there may be paroxysms, occurring at intervals. The kidney
may become enlarged, so that the tumor mass may be readily felt. As
the disease advances, the general symptoms characteristic of
tuberculosis are seen; viz., hectic fever, night-sweats, and general
emaciation.
Tuberculosis of the ureters and bladder may be a complication
extending from the kidney, but rarely, if ever, occurs as a primary
lesion. The same may be said of the prostate gland and vesiculse
seminales.
Tuberculosis of the Testicle.—This form of the disease may be either
primary or secondary, and occurs more frequently in early life than in
later years. In twenty cases reported by Julian, twelve were under two
years of age. Tubercle of the testes is most often confounded with
malignant growths and syphilis. A careful examination of the body at
large and a complete family history are important, before a diagnosis is
made.
Tuberculosis of the Fallopian Tubes, Ovaries, and Uterus.— These
organs are usually involved secondarily, although, in rare cases, they
are the seat of the primary lesion. This is especially true of the tubes,
while that of the ovary and uterus will always be found in connection
with general tuberculosis.
The Eclectic Practice of Medicine - PART I - Infectious Diseases - Page 209