This case of tuberculosis of the bladder in a patient affected with tabes is reported, because the symptoms of the tabetic bladder are antithetical to those of tuberculous cystitis.
A search through the files of the Surgeon General's Index Catalogue fails to disclose a report of a similar case. Similarly, no such case was noted in other indexes, or the Index Medicus of 1916. It may be that such a condition is frequently present but overlooked by the physician, owing to his hesitancy in doing a complete examination when a diagnosis of tabes is evident.
Ockerblad1 states that 30 per cent, of tabetic patients have disturbance of micturition at some time, and that 80 per cent, have bladder symptoms. The normal bladder capacity is from 300 to 400 c.c., while the tabetic bladder tolerates from 600 to 1,000 c.c. without discomfort. When a cystitis is present, however, we may
MARSHALL VF, CARLSON GW. THE ANTITHESIS OF UROGENITAL TUBERCULOSIS IN A TABETIC PATIENT: REPORT OF CASE. JAMA. 1923;80(25):1844–1845. doi:10.1001/jama.1923.02640520026009
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