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This case and specimen is presented as graphically illustrating possible sequelæ of gonorrhea and teaching (1) the necessity of care in pronouncing gonorrhea cured, i. e., that there will be no sequelæ; (2) the necessity of gentleness in genitourinary surgery; (3) the rapidity with which infection in the genitourinary tract may prove fatal.
The specimen was obtained in the following case:
—M., male, aged 36, occupation, logger; had gonorrhea in 1895. During the last two years he had had some trouble in voiding urine, but only when drinking heavily. At this time he had also a slight urethral discharge; otherwise, no symptoms. He was never incapacitated from work. On June 6, 1907, he had been drinking heavily, but had attended to his duties. On this date he had acute retention and the sound was used to relieve same. Twenty-four hours later, June 7, he came to Seattle and presented
PETERKIN GS. A CASE OF SUPPURATIVE PYELONEPHRITIS, WITH SPECIMEN.. JAMA. 1908;LI(13):1073-1075. doi:10.1001/jama.1908.25410130029003b