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On Disseminated Suppuration of the Kidney, Secondary to Certain Conditions of Urinary Disturbance

Wm. Howship Dickinson
1873 Medico-chirurgical transactions  
I PROPOSE to describe the peculiar suppurative condition which is sometimes spoken of as the "surgical kidney," and is produced, as I shall presently show, by the contact of unhealthy urine. Of all renal disorders, next to the varieties of albuminuria, it is the most destructive to life. It may almost be said to form the natural termination of stricture of the urethra, and is the especial danger which attends the use of the catheter and lithotrite. The attention which has been directed to this
more » ... n directed to this affection, however, is scarcely commensurate with its importance. The post-mortem appearances, such of them at least as are evident to the naked eye, were well described and depicted by Rayer* under the term pyelo-nephritis. He associated the disease with inflammation of the pelvic mucous membrane, which as he thought produced a similar change in the kidney by extension along the excretory ducts. This view has practically held its ground to the present time. Sir Benjamin Brodie,t who seems to have regarded the disorder in a different
doi:10.1177/095952877305600115 fatcat:cgcgxvrhp5curdsxmdkupcbkq4