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July 29, 1939

RENAL TUBERCULOSIS AS A COMMUNITY PROBLEM: CHAIRMAN'S ADDRESS

Author Affiliations

WASHINGTON, D. C.

JAMA. 1939;113(5):371-373. doi:10.1001/jama.1939.02800300001001
Abstract

This address is dedicated to the prevention of deaths caused by renal tuberculosis. The saving of a life by nonspectacular means is just as valuable economically as one saved by the most brilliant surgical operation. The factors involved in this problem consist of conditions which influence (1) the recognition of the presence of the tubercle bacillus in urine, (2) the general resistance of the individual, (3) the mortality from procedures instituted in treatment and (4) provision of adequate facilities and detailed direction of every individual affected.

RECOGNITION OF THE PRESENCE OF THE BACILLUS  The recognition of the presence of tuberculous involvement of a kidney or kidneys is dependent on urographic evidence of renal tissue destruction and the finding of the tubercle bacillus in urine from the kidney. When to look for the tubercle bacillus is important. The following conditions indicate the advisability of a search: 1. Unilateral renal infection. 2. Hematuria with no obvious explanation

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