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The following case is of interest on account of the supposedly metastatic cerebral abscess being caused by an entirely different organism from that which infected the kidney and also because of the duration and course of the two conditions.
—J. N., aged 30, single, bartender by occupation, was at the age of seven run over by a sleigh and the left side of his head was injured. At eighteen he contracted gonorrhea, the discharge of which ceased after about three weeks treatment. Had led an irregular life and had used alcohol freely. Two years ago he began to suffer with pain in the lumbar region and more or less irritation on urination. This had persisted for about a year when I first saw him. At this time I found a well-nourished man of extremely nervous disposition. Nothing abnormal found in heart or lungs, kidneys not palpable and no pain
WILLARD WP. PYONEPHROSIS AND CEREBRAL ABSCESS.. JAMA. 1908;LI(9):756. doi:10.1001/jama.1908.25410090038002b