A further contribution to the study of bacilluria in typhoid fever and its treatment with urotropin / by Chas. D. Easton, M.D., Boston.

  • Easton, Chas. D.
Date:
1905
Catalogue details

Licence: In copyright

Credit: A further contribution to the study of bacilluria in typhoid fever and its treatment with urotropin / by Chas. D. Easton, M.D., Boston. Source: Wellcome Collection.

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    only when the kidney is diseased, beginning immediately as soon as the kidney is affected. The observations of Walker ^ and Neufeld ® agree with others and both advise the use of urotropin. Walker cites an instance of a well which was infected by the urine of a trooper returning from the army. Twelve persons took the disease. Horton-Smith ^ found bacilli in the urine as early as the thirteenth day of the disease, and as late as the fourteenth day of convales¬ cence, and says that they may persist for years. He reports in all 45 cases with 11 of bacilluria. Urotropin was tried in 10 of these and all were cured, but in some cases the bacilli returned and urotropin had to be given again. His idea is that in cystitis the organisms work down into the wall of the bladder. Lewis * examined 45 cases, but only found bacilli in the urine of 1 case. He speaks well of urotropin and advises its use. Loida Schuder Gehrmann Klemenko Vincent and Jacobi agree with other investiga¬ tors as to the occurrence of bacilli in the urine of their cases. Jacobi reports 643 cases, 27.8% of which had bacilluria. He did not use urotro¬ pin, and considers it of little value because re¬ lapses occur and the bacilli return in the urine. Vincent in cystitis uses potassium permanganate irrigations. No other treatment is mentioned in his paper. Neither Klemenko or Schuder used urotropin. Richardson reports the finding of the bacilli in the urine as early as the eighth day, while in other cases they were not present until the forty-second day of the disease. Drake-Brockman writing on the practical application of urotropin as a urinary antiseptic