On erysipelas of the kidney and urinary tract : with some remarks on the disease generally called surgical kidney / by James F. Goodhart.

  • Sir James Goodhart, 1st Baronet
Date:
[between 1880 and 1889?]
Catalogue details

Licence: Public Domain Mark

Credit: On erysipelas of the kidney and urinary tract : with some remarks on the disease generally called surgical kidney / by James F. Goodhart. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    mouths of divided veins. The connective tissue of the perinaeum was in a sloughy state. On May 15th a patient, Henry H—, set. 55, was admitted into Lazarus, bed No. 16. He had been treated for stricture ten years ago in the hospital, and had left, as he said, cured. He had not found any necessity to pass catheters since. In the last eighteen months he has had several attacks of partial retention, the urine being very thick, and only coming in drops. A fort- night previously he had had one of these attacks, and unsuccessful attempts at catheterism had been made. The want of success appears chiefly to have depended upon a perineal abscess which was forming at that time, and which was opened twelve days be- fore his admission, hut which has since closed. When admitted he had some thickening in the perinseum, hut no wound. He passed urine in a small stream ; it was thick and contained pus. A fresh perineal abscess formed soon after admission, but within four days of his entry flexible catheters Nos. 6 and 7 could be passed, and the stricture caused no further trouble. He had also a large prostate, and once had retention, probably owing to this. He had, however, much cystitis, as was evident from the state of his urine, and to relieve this his bladder was washed out daily with a weak solution of carbolic acid. He was thought to he doing well, his temperature varying between 98° and 99°, and his pulse being about 80. On June 11th, two days, it will be noticed, previous to the death of the prementioned patient from pyaemia, his pulse went up to 108, and his temp, to 104-8.° He got a dry tongue, rheu- matic pains, and died on the 13th. At the post-mortem examination the kidneys weighed eleven ounces. Some spots of recent suppuration were found in the cortical structure, and one abscess much larger than the rest, the adjacent cortex being indurated, as if it had been the seat of a past inflammation. The pelves were greatly dilated. Bladder thickened, of moderate size, its lining membrane much inflamed. Such a case as this seems to me an important one. Here was a patient admitted with a severe form of cystitis. There was evidence that on and off for the last eighteen months he had been in a similar state; it is even highly probable, seeing what a great deviation from the normal standard of health, the
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