DONALD S. DOCK, M.D.; LUCIEN B. GUZE, M.D.
Although it is generally believed that acute pyelonephritis may be the forerunner of serious chronic renal disease, the statistical relationships and intervening events are largely unknown. Kass has demonstrated that asymptomatic bacteriuria not infrequently exists in adults.1 Furthermore, a correlation has been found between the occurrence of bacteriuria and the finding of pyelonephritis at autopsy.2 It seemed desirable, therefore, to carry out a follow-up study on patients treated for acute episodes of pyelonephritis to determine whether, after subsidence of the manifestations of acute illness, the urine continued to contain significant numbers of bacteria, indicating continued subclinical activity of the infectious
DOCK DS, GUZE LB. ACUTE NONOBSTRUCTIVE PYELONEPHRITIS: OCCURRENCE OF BACTERIURIA AFTER APPARENT RECOVERY*†. Ann Intern Med. 1959;50:936–941. doi: https://doi.org/10.7326/0003-4819-50-4-936
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Published: Ann Intern Med. 1959;50(4):936-941.
Infectious Disease, Nephrology, Urinary Tract Infection, Urological Disorders.
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