In former publications1 attention was called to the curative effect of the ketogenic diet on infections of the urinary tract. Particularly striking has been the success in cases of anomalies of the urinary tract which had proved refractory to other modes of medical treatment. In a study of the literature, I found that Nielson,2 in 1920, fed a cream mixture in the treatment of urinary infections with good results. He ascribed the beneficial action to the increased acidity of the urine which inhibits the growth of the colon bacillus. In vitro experiments, he stated, showing the growth of colon bacilli at a ph of 5 cannot disprove the beneficial clinical results of the diet. It is evident, he continued, that it is impossible to cure a patient with urinary retention because the acidity of the urine only inhibits growth, but the inhibition is sufficient in uncomplicated cases
HELMHOLZ HF. THE KETOGENIC DIET IN THE TREATMENT OF URINARY INFECTIONS OF CHILDHOOD. JAMA. 1932;99(16):1305–1309. doi:10.1001/jama.1932.02740680001001
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