Renal Biopsy in Pyelonephritis

1955; American Medical Association; Volume: 95; Issue: 3 Linguagem: Inglês

10.1001/archinte.1955.00250090083011

ISSN

2375-6799

Autores

Gilbert P. Kipnis,

Tópico(s)

Urinary Bladder and Prostate Research

Resumo

Infections of the urinary tract are protean in their clinical manifestations, pathogenesis, and pathologic importance as well as in bacterial etiology. A few reports differentiating chronic pyelonephritis from Bright's disease * appeared in the literature prior to 1939, but, in general, until recently, clinical infections of the urinary tract were classified according to the anatomic part believed to be the site of the infection. Thus, urethritis, cystitis, pyelitis, and pyelonephritis, at least, were regarded as separate entities. The classic publication of Weiss and Parker, 4 in 1939, and others since that time, altered this point of view and indicated a tendency for infection to involve the entire urinary tract regardless of the site of origin of the infection. Weiss and Parker 4 classified pyelonephritis according to morphologic changes in the kidney into acute, chronic, healed, and healed and recurrent stages. Clinical recognition of acute pyelonephritis is not difficult, but patients with

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