An account of five cases of pyelitis in enteric fever / by John Brownlee. With a description of the post-mortem appearances in one case / by E.S. Chapman.

  • Brownlee, John, 1868-1927.
Date:
[1906]
Catalogue details

Licence: In copyright

Credit: An account of five cases of pyelitis in enteric fever / by John Brownlee. With a description of the post-mortem appearances in one case / by E.S. Chapman. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    upon the subject is scanty, and practically no references have been made to the pathological alterations found in the pyelon. A description, therefore, of the pathological changes found in the pelvis of the kidney in a case of this condition may be of some interest. The following is an extract from the report made at the autopsy of N. L., who died at Belvidere Ho.spital on 29th August, 1905, during an attack of enteric fever. During the illness there had been symptoms pointing to the presence of pyelitis. The symptoms have already been fully discussed by Dr. Brownlee. “ The body was that of a well-nourished man. The heart was enveloped in a considerable amount of fatty tissue. The heart muscle showed much albuminoid degeneration. The valvular structures were normal. The pericardium contained a normal amount of serous fluid and showed no .signs of inflammation. The bases of both lungs were intensely con- gested, but no other pulmonary lesion vpas present. There was no evidence of peritonitis. The liver was fatty, and the gall-bladder was distended and contained a considerable quantity of bile, in which floated numerous flocculae. The walls of the gall-bladder were congested, but no ulceration was vi.sible. Cultures made by Dr. R. M. Buchanan from the bile showed a pure growth of the bacillus typhosus. The •spleen was congested, and a section .showed many small haemorrhages. “The lower part of the .small intestine was much congested and the mucous .surface exhibited numerous solitary ulcers. The Beyer’s patches situated at some distance from the ileo- caecal valve were deeply ulcerated, while those in the immediate neighbourhood of the valve showed little of the characteristic foveation, a condition suggestive of healing of the ulcers in the lowest portion of the small bowel. The mesenteric glands were much swollen and congested. “ The left kidney weighed oz. The cap.sule was non- adherent. On .section it showed a slight degree of fatty degeneration and some congestion of the pyramids. The pyelon was normal, but the ureter appeared to be somewhat larger than normal. The right kidney weighed 3| oz. The capsule was non-adherent. On section it showed slight fatty change and some congestion both of the cortex and pyramids. Extending up from one pyramid into the boundary zone there was a localised area, measuring half an inch in length by an eighth of an inch in breadth, which was paler than the neighbouring tissue, and which was surrounded by a thin zone