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Article
March 4, 1911

PURULENT INFECTIONS OF THE URINARY TRACT IN INFANCY

JAMA. 1911;LVI(9):631-634. doi:10.1001/jama.1911.02560090001001
Abstract

Purulent infections of the urinary tract are by no means infrequent in infancy and early childhood. They form probably 1 per cent, of all the illnesses that bring these little patients under the physician's care. Roughly speaking, I should estimate them to be about as frequent in my own practice as meningitis. These infections still occupy rather a unique position, in that they are almost never recognized in general practice. This is not because the babies are not sick, or because the diagnosis is difficult. The babies are alarmingly ill, have long-continued high septic fevers and become emaciated and anemic to an extreme degree, and a considerable per cent, die if untreated. The diagnosis, on the other hand, is easy and positive, and can be madeby any one who can recognize a pus cell under the microscope. The reason why the diagnosis is not made in these cases is that

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