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Infection of the kidney during pregnancy by the Bacillus voli communis has been frequently brought to the attention of the profession, and the literature of the subject has become considerable. The limits of space and time forbid an extensive literary review of this subject.
Abundant clinical observation shows that the right kidney is most usually involved. The anatomic explanation for this lies in the relation of the right ureter to the intestine, and the comparatively easy access of the infective germ from the intestine to the pelvis of the kidney. Some observers have recognized ascending infection, the infective germ first gaining access to the bladder through the urethra and then passing upward along the ureter to the pelvis of the kidney. In all cases the B. coli communis is the principal agent of infection. Mixed infection with staphylococci or with streptococci may be present.
No predisposing cause has yet been
DAVIS EP. DRAINAGE OF THE KIDNEY BY INCISION FOR BACILLUS COLI COMMUNIS INFECTION IN PREGNANT AND PARTURIENT PATIENTS: WITH REPORT OF CASES. JAMA. 1912;LIX(11):859–862. doi:10.1001/jama.1912.04270090103010
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