. Diseases of infancy and childhood . te nephiilis in llu new-born has been desn-iluul by Jaeobi. New York Modioal Journal, .laimarv, 189U. 372 DISEASES OF THE KIDNEY AND BLADDER. Symptoms.—Gastric disturbances, sucli as vomiting, are very fre-quently notedo As a rule premonitory symptoms are absent. Nephritis fre-quently begins with fever, loss of appetite, headache, and general of the face is sometimes the first sign of trouble. The urine is always scanty and sometimes contains red blood-corpus-cles, leucocytes, and casts. The urine shows the evidence of acute renalcongestio
. Diseases of infancy and childhood . te nephiilis in llu new-born has been desn-iluul by Jaeobi. New York Modioal Journal, .laimarv, 189U. 372 DISEASES OF THE KIDNEY AND BLADDER. Symptoms.—Gastric disturbances, sucli as vomiting, are very fre-quently notedo As a rule premonitory symptoms are absent. Nephritis fre-quently begins with fever, loss of appetite, headache, and general of the face is sometimes the first sign of trouble. The urine is always scanty and sometimes contains red blood-corpus-cles, leucocytes, and casts. The urine shows the evidence of acute renalcongestion and is always albuminous. In grave cases there are frequentefforts to pass urine, and these attempts are attended with pain. With greatdifficulty the child expels a few drops of dark colored urine. Accordingto the severity of the case these symptoms subside after a period varyingfrom ten to thirty days. Irregularity of the pulse is frequently noted, andshould always be looked upon as an evidence of toxaemia. It is a Fig. 113.—Nephritis Complicating Diphtheria. Case seen by meat the Willard Parker Hospital. (Original.) The action of the heart should be closely followed in every case ofnephritis. Prognosis.—This is usually good. If treatment is neglected in anacute nephritis, a chronic nephritis will result. In rare instances a generaltoxaemia may cause convulsions and death. Nephritis a Complication.—This disease may accompany or followscarlet fever or diphtheria. It is also occasionally seen in most infectiousdiseases such as typhoid, measles, varicella, pneumonia, influenza, malaria,meningitis, and empyema. In a study of gastro-enteritis made by Baginsky, the frequent asso-ciation of nephritis was noted. This author found that the bacterium colicould frequently cause acute nephritis. Elaine K., a girl, 5 years old, had vomiting, followed by an eruption of scarletfever covering the entire body. The rash was distinct for three days and thenfaded. The phy
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