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A peculiar clinical experience during the past year, has led me to the investigation of a class of lesions commonly enough encountered by most practitioners with fair opportunities for observation; but certainly in a considerable proportion of cases they are not understood, nor their clinical manifestations correctly interpreted. I refer to kidney abscess or pyonephrosis; of late, also designated "surgical kidney," for the reason that it is supposed that the lesion admits of relief or cure only by surgical measures, which is only correct, however, in exceptional cases.
Much diversity of opinion has arisen, in consequence of the confusion of terms employed by different authors, in describing the various types of renal suppuration; and, on the other hand, by an attempt at an over-refinement and irrational differentiation of pathologic conditions.
Thus we will note, that one speaks of renal suppuration as pyonephritis, another as pyonephrosis, another as pyelitis, and another
MANLEY TH. RENAL SUPPURATION, CATARRHAL, SPECIFIC AND TRAUMATIC, AND THE VALUE OF MICRO-URANALYSIS OF THE URINARY SEDIMENT AS AN AID TO DEFINITE DIAGNOSIS OF IT. JAMA. 1897;XXIX(20):984–990. doi:10.1001/jama.1897.02440460004002
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