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BACILLUS COLI INFECTIONS

1930; BMJ; Volume: 2; Issue: 3636 Linguagem: Inglês

10.1136/bmj.2.3636.414

0959-8138

David Nabarro,

Veterinary medicine and infectious diseases

~~~~~~~~~~~~~~~~~~~~~~~~~~MEDICL JOUPRNA are infected; the ureters are never free from B. coli if the bladder is inifected.In the spontaneous infections, by tying off the bladder and ureters separately, Helilnholz has shown that the bladder is often infected, while onie or both ureters are free from infection, and that although pyelitis and pyelonephritis may appear, kidney abscesses do not occur in the spontaneous infection.It seems worth whilo to turn from the consideration of children to review briefly B. coli urinary infections in adults.After puberty such infections are far less comiimon than in childhood, and a marked disproportioln exists between the sexes.In men, apart from calculus, prostatic abnormalities, anid urethral stricture, B. coli infections of the bla(lder or ureters are rare.Inl women, on the other hand, the B. coli infection is by nio meanis unicommoni.The associated conditionis are pregnancy, gynaecological operations, the trauma of the honeymoon, and long periods of retention such as may occur on long car or railway journeys.Further, such infections-provided that the infecting organiism is the B. coli only-produce but little upset, and are probably frequently missed.The facts of this brief statement seemu to poinlt very definitely to an ascending ratlher than to a blood infection, and support the clinical finding of children's physicians that pyelitis is genierally an ascending infection with a correspondingly greater inci- dence in girls.If these infections (B.coli) were blood- bornie, then men would be nlot less susceptible than women, and evidence of disturban-ce in other organs of the body would be common and not infrequently severe.Certain figuires have been obtained from the Children's Hospital in Birmilnglham.Starting from tho year 1925 117 consecutive and unselected cases of pyelitis were taken.with the object of tracing the children, re-examining them, and determiniing as far as possible their present condition.In this way it is hoped to throw some light on the etiology of the condition. Age.No. Male.