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[Pyelocystitis in breeding sows].

Pyelocystitis results from ascending infection of the urinary tract with Corynebacterium suis in sows. Infection occurs regularly during coitus by healthy boars, which are often contaminated with Corynebacterium suis. Characteristic clinical signs of pyelocystitis are haematuria, anemia and emaciation. The whole urinary tract shows severe purulent-necrotic inflammation with progressive vascular lesions. Diagnosis is based on clinical, pathological and bacteriological findings. Distinct changes in urine samples are present. Treatment is only successful in sows with intact function of kidneys. In early detected cases treatment can be effective with repeated application of appropriate antibiotics, e.g. penicillin or ampicillin. There are no proven methods of prevention.

Animals↗

[Acarids of pathological significance in urine].

The present paper reports on 7 cases of primary infections, pyelonephritis and pyelocystitis, in which acrids were found in the urine during acute attacks. The cases were detected in the clinical laboratory of a county Hospital. All the 7 patients, ranging in age from 6 to 60 years, exhibited characteristic symptoms of pyelonephritis and pyelocystitis. Numerous acarids were found in the urinary sediment and, in some cases, also their eggs. Some of the acarids were motile, others were encrusted with salts. A female acarid was detected while laying eggs. In 6 patients the acardis were found in the urine only at the first examination and disappeared following the of urinary infection; in the seventh case they were detected at three consecutive examinations performed at 3--6 days interval.

Acari↗

The nature of urogenital involvements in female uro-arthritis, with special reference to chlamydial infection.

To study the nature of urogenital involvements in female uro-arthritis 73 consecutive patients with arthritis concomitant with any type of urogenital involvement were examined. The controls were 281 females interviewed only and an additional 83 also gynaecologically examined. A history of cervicitis, salpingitis, dysuria and pyelocystitis/-nephritis occurred significantly more often in patients than in controls. Clinical gynaecological examination revealed cervicitis in 26,8% (19/71) of the patients and 15.7% (13/83) of the controls (p less than 0.05). Aseptic pyuria was definitely more frequent in patients (19/73) than in controls (0/63). The isolation of Chlamydia trachomatis was positive in 14.7% (10/68) of the patients and 3.7% (3/81) of the controls (p less than 0.025). Serological evidence (titre greater than or equal to 64) for chlamydial infection was obtained in 53.4% (39/73) of the patients and 18.2% (14/77) of the controls (p less than 0.00025). The results indicate the importance of urogenital history and findings in females with rheumatic attacks. The most prominent and persistent urogenital involvements were cervicitis, salpingitis, pyuria and dysuria. Chlamydial infection appears in any case to be responsible for part of these involvements (42/73).

Adolescent↗

Urogenital involvements and musculoskeletal complaints in women. An interview study and clinical investigation with special reference to chlamydial infections.

To study the correlation of urogenital involvements and musculoskeletal complaints in females, 311 randomly selected women, aged 15 to 54, were interviewed. In addition, clinical gynecological examination including isolation and serology of Chlamydia trachomatis (Ct) was performed for 30 consecutive volunteers. A history of musculoskeletal complaints occurred in 218 (70.1%) and a history of urogenital involvements in 244 (78.5%) of the 311 women. The number of urogenital involvements in 218 females with musculoskeletal complaints was 453, a significantly higher frequency than the 120 urogenital involvements in 93 females without musculoskeletal complaints. The most important urogenital involvements appeared to be cervicitis, dysuria, Trichomonas vaginalis infections and pyelocystitis/-nephritis. Regarding the musculoskeletal complaints, histories of unexplained dorsalgia and anamnestic joint pains in the extremities occurred more often in the females with a history of urogenital involvements than in those without such a history. There were anamnestic urogenital involvements in 28 (93.3%) of the 30 volunteers. The clinical investigation revealed gynecological disease in only 16 (53.3%). Isolation of Ct was negative in 29 and contaminated in one. Chlamydial immunofluorescence serology was positive (titre greater than 64) in 5 (16.7%). The results of this study speak for the importance of infections in the genito-urinary tract as a possible triggering factor in rheumatic disorders in females. This conception is supported by the correlation of the musculoskeletal complaints especially with past histories of urogenital involvement. No such correlation was found with recent histories of urinary tract involvements, nor with the actual pathological findings of those gynecologically examined.

Bone Diseases↗

[Clinico-radiologic features of the kidneys in patients with nonspecific colitis].

Excretory urography was performed in 55 patients with non-specific ulcerative colitis and Crohn's disease with colonic involvement. The kidney pathology was revealed in 47.3% of the patients, in 5 (27.8%) of 18 patients examined before the operation, and in 21 (56.8%) of 37--after extensive colonic resection. Nephroptosis, urolithiasis, hydronephrosis, pyelocystitis were the main complications.

Adolescent↗

[Clinical kidney function studies in sheep. III. Pathologic function changes in nephropathies of sheep and in urolithiasis of rams and billy goats].

Examination of renal function have been carried out in sheep with acute prerenal (n = 6), renal (n = 15) or postrenal failure (n = 3), pyelocystitis (n = 4), and in cases of urolithiasis in rams (n = 16) and billy goats (n = 11) respectively. The calculation of parameters was done on the basis of the estimated weight dependent endogenous creatinine excretion. A control group of 56 healthy non pregnant or early pregnant (< 120th day of pregnancy) ewes have been used. The renal creatinine clearance was reduced and the absolute as well as the fractional renal water excretion was enhanced in all groups of sick animals. An elevated fractional excretion of sodium and phosphate could be seen as well. Functional disturbances could be observed in urolithiasis in like manner as in acute renal failure. There was proteinuria, glucosuria, excessive potassium excretion and often decreased plasma concentration of potassium in both syndromes. A hyperkalemia occurred only in the final state of urolithiasis. No clinical outcome of chronic nephropathies could be seen. Mortality of the described acute nephropathies was about 76%. The results of examination were suitable to control the course and restitution of renal function. They were not helpful for differential diagnosis and prognosis of acute renal failure.

Animals↗