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April 21, 1900

PRIMARY TUBERCULOSIS.NEPHRECTOMY AND SUBSEQUENT TOTAL RESECTION OF THE URETER: COMPLETE RECOVERY.

Author Affiliations

SURGEON OF THE FRENCH HOSPITAL. SAN FRANCISCO, CAL.

JAMA. 1900;XXXIV(16):979-981. doi:10.1001/jama.1900.24610160021001h

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Abstract

M. M., aged 42, a commercial traveler, gave the following history: Hereditary antecedents negative; personal antecedents uninteresting; venereal antecedents negative; no ethylism; no arthritism. In the winter of 1895, his trouble began with a dull pain in the back—loin tire—accompanied by polyuria. In March, 1896, he was seized with sharp, shooting pains in the right loin, extending toward the corresponding testicle. Micturition became very frequent and painful. The urine was turbid, and shortly afterward decidedly purulent. He had days of comparative ease, followed, without apparent cause, by a period of radiating lumbar pain, spasms of the bladder and painful micturition. The turbidity of the urine invariably increased after each such attack. No hematuria—at least macroscopic —was noted. His condition did not change perceptibly during the following year, with the exception of frequent chills and severe headache. He was able to work, but always felt miserable. His loss of weight was

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