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August 1938


Author Affiliations

From the Department of Medicine (Pediatrics) of the University of Southern California Medical School, and the Children's Hospital, Los Angeles.

Am J Dis Child. 1938;56(2):270-274. doi:10.1001/archpedi.1938.01980140040005

The discovery within a period of a few months of 5 cases of acute pyuria in which dysentery bacilli were isolated from the urine aroused enough interest locally to prompt the present report. The occasional urinary complications of typhoid and paratyphoid fever and of bacillary dysentery are common enough to preclude the necessity for discussion of them; the occurrence of acute pyuria due to a dysentery bacillus without an antecedent history of dysentery is, as far as I have been able to learn, unreported in the literature.

Several of the statistical studies of the bacteriology of urinary infections have showed instances in which typhoid, paratyphoid and dysentery bacilli have been isolated from the urine,1 but none of these reports has included sufficient clinical data for analysis, and it is probably justifiable to assume that these instances represented complications of frank intestinal infections. Several reports of isolated cases in which