My frequent observation has been that colon bacillus infections of the kidneys and the bladder persisting and unyielding to treatment are invariably due to colonic stasis of the fecal current. This interruption is usually in the cecum and is due to adhesions of this organ to the surrounding structures immobilizing it. From the chronic stasis thereby induced, a constant supply of colon bacilli enter the circulation through the lymphatics in the kidney capsule or by the blood stream and primarily infect the kidney pelves on their way out, if there is any interruption to the free exit of urine, either in the ureters, at the neck of the bladder, or in the urethra. Once the infection is established, it is practically incurable until a normal condition in the large intestine or one approximately normal is restored by surgical measures.
REPORT OF CASES
—G. J., aged 46, railway engineer,
MacGOWAN G. TREATMENT OF COLON BACILLUS INFECTIONS OF KIDNEY AND BLADDERBY SURGICAL MEASURES APPLIED TO THE ASCENDING COLON. JAMA. 1918;71(23):1897–1898. doi:10.1001/jama.1918.02600490029007