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July 6, 1912


Author Affiliations

Washington, D. C.

JAMA. 1912;LIX(1):36-37. doi:10.1001/jama.1912.04270070038014

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The literature on this subject is slight, embracing in all about twenty cases. In five the gonococcus was obtained only from the voided specimen; in two the pyelitis was due to a mixed infection; in four no cultures were obtained; in one a nephrectomy was done and the diagnosis made from the specimen; in four the disease was only recognized at autopsy. In only four were cultures obtained from the kidney during the course of the disease.

There are certain features about my case that are of special interest; it shows the possibility that this complication of gonorrhea may be more common than the comparative scarcity of the literature would indicate.

The report of my own case is as follows:

History.  —The patient, a man, aged 27, came under treatment Nov. 6, 1911, complaining of a urethral discharge and painful micturition. He had had two previous attacks of gonorrhea in

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