STUART W. YOUNG, M.D.; ZOHEIR FARID, M.D.
To the editor: Hydrogen ion excretion and renal concentrating mechanisms are impaired in renal parenchymal infections (1, 2), and impairment in renal concentrating ability is associated with urinary tract obstruction (3). Bacteriuria and obstructive uropathy often complicate Schistosoma haematobium infection; we have studied patients with this condition to investigate the interaction of obstruction and bacteriuria and their effect on renal function.
Urine acidification (pH) and total hydrogen ion (titratable acid plus ammonium) excretion (4), maximum and minimum urine osmolality, and endogenous creatinine clearance (per 1.73 m2 body surface area) were studied in 61 male patients, aged 9 to 46 years,
YOUNG SW, FARID Z. Urinary Osmolality And Acid Excretion In Schistosomal Uropathy. Ann Intern Med. ;79:275–276. doi: 10.7326/0003-4819-79-2-275
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Published: Ann Intern Med. 1973;79(2):275-276.
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