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April 20, 1935


JAMA. 1935;104(16):1380-1383. doi:10.1001/jama.1935.02760160004002

From the time that Albarran popularized nephrectomy for the treatment of renal tuberculosis and Wildbolz proved the incontestable superiority of such surgery over the expectant or hygienic treatment of this disease, urologists have vainly sought a pathologic specimen of healed caseating renal tuberculosis without total destruction of the kidney. To the urologist the tuberculous kidney has behaved like a lymph node. Once it begins to break down it is physiologically lost.

Yet all the while there have been two hitches in the theoretical aspects of the case:

  1. The pathologists, aware of the gallant enthusiasm that characterizes surgical theory and practice, have withheld their final judgment. To a pathologist everything is possible. Why not?

  2. A few cases have been seen by the urologist, and many have been studied in tuberculosis sanatoriums, of what might be called tuberculous bacilluria. These did not seem to conform to the rule. Such bacilluria