March 5, 1898


Author Affiliations

Assistant Professor of Surgical Pathology, Faculty of Medicine, Tufts' College, Boston; Fellow of the American Association of Obstetricians and Gynecologists; Corresponding Member of the Association of Genito-Urinary Surgeons of France, of the Pathological Society of Brussels, of the Electrotherapeutic Society of France, etc. BOSTON, MASS.

JAMA. 1898;XXX(10):526-531. doi:10.1001/jama.1898.72440620014001c

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LECTURE I.  Tuberculosis of the kidney occurs in two forms, viz., miliary granulations and tuberculous infiltration of the kidney. The first form is a medical tuberculosis, while the second is more or less surgical.Durand-Fardel has described a special form of renal tuberculosis. He saw a case in which he found great quantities of bacilli but which had not produced any pathologic change in the kidney; the glomeruli contained Koch's bacillus in their capillary loops, but the organism had not had sufficient time to produce irritative lesions, for all the renal tissue was found normal, even the structure of the glomeruli was healthy. Some vessels which were packed with bacilli to such an extent that under a lower power their cavity appeared like a red speck, were also normal and no trace of cell proliferation could be detected around them. Daunic has reported a similar case. Death occurred with great

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