For years we have had forced on our attention, at frequent intervals, the question of the relative value of surgical and medical treatment of tuberculosis of the kidney, and of the true significance of the various symptoms and signs on the presence or absence of which the diagnosis of this condition is made. We frequently see patients who apply for relief of advanced tuberculosis of the second kidney, very shortly after the first kidney had been removed for tuberculous involvement. In the Sea View Hospital alone, since 1913, we have seen at least twentyfive such patients who were admitted within eight to twelve weeks after the nephrectomy.
This problem cannot be dismissed with the statement that "a kidney which is practically destroyed and which acts as a focus for dissemination of the disease, and the toxins generated in which irritate the second kidney during their elimination, should be removed—the second
SCHAPIRA SW, WITTENBERG J, SPIEGELBERG SL. THE URINARY TRACT IN PULMONARY TUBERCULOSIS: A REPORT OF THE STUDY OF SIX HUNDRED CASES. JAMA. 1918;70(9):591–593. doi:https://doi.org/10.1001/jama.1918.02600090011005
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