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October 14, 1905


JAMA. 1905;XLV(16):1134-1140. doi:10.1001/jama.1905.52510160008002

This is a subject worthy of more consideration than has generally been accorded to it, and the condition is one which is likely to be overlooked for long periods when great benefit could result from proper treatment. As several patients have come under my care during the past eighteen months, my attention has been called more directly to the subject.

It has been claimed that renal tuberculosis occurs in 2 per cent. of all patients suffering from this disease, and, while many of these cases are inoperable, there still remains a considerable number in which no other lesion can be located save that in one kidney. Kroenlein1 uses the terms "solitary" and "combined" tuberculosis of the kidney instead of "primary" and "secondary," and it would seem well to follow his classification, for such distinction will prove of value in the management of a given case. In his 34 cases of

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