Infections of the Urinary Tract

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Mandelic acid and sulfanilamide have proved to be valuable adjuncts in our armamentarium for the treatment of infections of the urinary tract. The classification of the causative organism followed by treatment with the proper drug is of the utmost importance. Not wholly without danger in administration, close supervision during treatment is recommended and certain precautions must be taken if satisfactory results are to be obtained. The following case illustrates the principles that should be followed in the use of these drugs.

Report of Case

A nurse, 37 years of age, entered the Clinic on May 8, 1938, complaining of “pus in the urine,” frequency, urgency, and pain in the right side.

In 1932 she had experienced an attack of pyelitis and cystitis which subsided in one month after the use of various urinary antiseptics. Since that time she had not been entirely free from frequency and urgency. Once or twice yearly an acute exacerbation occurred, incapacitating her for three or four weeks. In 1934 a severe attack of renal colic on the right side lasted several hours. A cystoscopic examination had been performed at that time and she was told an infection was present in the right kidney. Following this, she had taken various medications but the urine was never free from pus.

The attack which caused her to come to the Clinic began four days before admission and was manifested by pronounced frequency, urgency, dysuria, and nocturia. Slight discomfort was noted in the region of each kidney. Although she. . .



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