. Medical and surgical report of the Roosevelt Hospital, New York. r or penis, occasionalfever, chills and sweats, hematuria, pyuria and tuberclebacilli in the urine. Secondly : A generally unrecognized type in whicha kidney tumor, often rapidly increasing in size, andacute symptoms of marked systemic infection are thepredominating symptoms. In these cases an acuteseptic pyonephrosis is superimposed upon a chronic andusually unrecognized pre-existing tubercular pyeloneph-ritis. Of this type there have been 5 cases, or nearly14 per cent. The first case gave a history of long-continued urinaryfr
. Medical and surgical report of the Roosevelt Hospital, New York. r or penis, occasionalfever, chills and sweats, hematuria, pyuria and tuberclebacilli in the urine. Secondly : A generally unrecognized type in whicha kidney tumor, often rapidly increasing in size, andacute symptoms of marked systemic infection are thepredominating symptoms. In these cases an acuteseptic pyonephrosis is superimposed upon a chronic andusually unrecognized pre-existing tubercular pyeloneph-ritis. Of this type there have been 5 cases, or nearly14 per cent. The first case gave a history of long-continued urinaryfrequency and urgency with clear urine, and a two weekshistory of a dull boring pain in the left costovertebralspace, and the appearance of a large, tender, rapidlyincreasing mass in the same region. At operation alarge pyonephrotic sac was found with a chronic tuber-cular kidney. The patient made a good recovery. The second case gave a history of frequency and ur-gency with turbid urine extending over many treatment had been tried with the usual. Fit;. II. Tuberculous pyeloniphritis n~itfa calculi. v . / v4^ ? u * Pig. III. T
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