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March 1933


Author Affiliations

Attending Urologist, Babies' and New York Nursery and Child's Hospitals; Assistant Visiting Urological Surgeon, Bellevue Hospital NEW YORK
From the Departments of Children's Medicine, Surgery and Urology, Bellevue Hospital.

Am J Dis Child. 1933;45(3):555-571. doi:10.1001/archpedi.1933.01950160097011

Although renal tuberculosis is not common in children except as part of a generalized infection, the incidence of the lesion as manifested by so-called chronic pyelitis is sufficiently high to merit serious consideration. Four personal cases of surgical renal tuberculosis in children (3, 7, 8 and 11 years of age, respectively) who were treated by nephrectomy and a bilateral nonsurgical case (at 7 years) are here reported, together with one of calcified renal tuberculosis in a boy of 17 years. In the latter case, the urinary tuberculous history dated from the age of 3 years. These cases emphasize by specific illustration the great importance of complete urologic investigation when symptoms of disturbances of the urinary tract exist in the young. All of the patients were examined because of persistent pyuria; in 2 (cases 2 and 6), urinary frequency with incontinence had led to the diagnosis of enuresis. In case 5,

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