Clinical diagnosis : the bacteriological, chemical, and microscopical evidence of disease . eover, according to Fr. Hof?neister76 the normalurine of healthy men always contains germs. (b.) Pathogenic Fungi.—When recently voided urine is found to con-tain a profusion of fungi, the condition is in every case serious, becausethese fungi—even though not specifically pathogenic—may give rise toserious trouble by promoting decomposition within the bladder. Thecircumstances which influence the development of non-pathogenic fungiin fresh urine have been made the subject of repeated investigations{Robe
Clinical diagnosis : the bacteriological, chemical, and microscopical evidence of disease . eover, according to Fr. Hof?neister76 the normalurine of healthy men always contains germs. (b.) Pathogenic Fungi.—When recently voided urine is found to con-tain a profusion of fungi, the condition is in every case serious, becausethese fungi—even though not specifically pathogenic—may give rise toserious trouble by promoting decomposition within the bladder. Thecircumstances which influence the development of non-pathogenic fungiin fresh urine have been made the subject of repeated investigations{Roberts, Schottelius, Reiriliold, Barlow 77). The matter is still surroundedwith a great deal of uncertainty, and it is convenient provisionally todistinguish the condition as idiopathic bacteriuria. According to theresearches of Schottelius and Ross,7s it is unattended with any morbidsymptoms. In the case of a patient who had suffered for a year fromgonorrhoea and cystitis, and who said that he had never had a catheterpassed, the author found the urine turbid and ammoniacal, and pro-. Fig. 113.—Sediment from Fermenting Diabetic Urine with Casts of Micrococci. a, b, c. various forms of urates ; d. micrococci in form of casts ; e. moulds ; /. yeast-fungi; g. bacilli and micrococci (eye-piece III., objective 8a, Reichert). liferating crowds of micrococci of every description. This continuedlong after the cessation of symptoms, and was attended with pain. The diagnosis of idiopathic bacteriuria must be made with great caution. Theauthor had the opportunity of observing another case, apparently analogous tothe one described above. From a communication recently made by the patient,however, the symptom is sufficiently explained by the appearance in the interimof a prostatic abscess. Bacteriuria is very often observed after the use of unclean (non-steri-lised) Often (although not always) cystitis supervenes as aresult of this. Very interesting communications on the su
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