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ASCENDING URINARY INFECTIONAN EXPERIMENTAL STUDY
WILLIAM J. CARSON, M.D.
Arch Surg. 1931;23(1):74-84.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The routes by which infection may travel in reaching the ureter and kidney from the bladder are: (1) regurgitation of the contents of the bladder through the ureterovesical orifice, (2) direct extension through the wall of the ureter, (3) extension of the infection by way of the lymphatics and (4) by way of the blood stream.
From the clinical standpoint, Rovsing,1 Israel,2 Stoeckel,3 Albarran,4 Warschauer5 and others believed that a stagnating urinary column due to ureteral obstruction favored the upward spread of organisms.
Rovsing1 and Melchior6 concluded: (1) that experimental cystitis could not be produced in animals without retention of urine or trauma to the bladder; (2) that with retention of urine experimentally produced, pyelitis as a rule did not result, and (3) that trauma to the bladder with or without retention of urine produced pyelonephritis.
Zeit7 and Peterson,8 in 1899,
. . . [Full Text PDF of this Article]
Author Affiliations
Instructor in Surgery, Marquette University MILWAUKEE
From the Department of Preventive Medicine, A. O. Smith Corporation.
Footnotes
Submitted for publication, Oct. 20, 1930.
Read before the Section on Urology at the Eighty-First Annual Session of the American Medical Association, Detroit, June 27, 1930.
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