Typhoid Carriers And Typhoid Immunity

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L. GAEBAT 79 The mechanism whereby the bacteria escape into the urine being granted, this does not, however, by itself account for the marked variations in the number of bacteria in the different specimens and the complete sterility of some. Horton-Smith (67, 75) answers this question by the varying growth of the bacteria in the bladder. For reasons previously quoted we cannot agree with this assumption, but believe that when the urine reaches the bladder, it already contains different quantiti...es of bacteria at different times. Retention of the urine in the bladder with subsequent growth of bacteria therein will only accentuate the already existing differences. The writer is of the opinion that it is an infection in the pelvis of the kidney or its numer- ous calyces which accounts for these variations in number.
5. Infection in the Pelvis of the Kidney. — The pelvis bears the same relationship to the kidney that the gall bladder does to the liver.
The bacteria may lodge in some calyces and not in others or some of the calyces may be infected more than others.


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