THE SIGNIFICANCE OF TUBERCLE BACILLI IN THE URINE

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Abstract
The significance of tubercle bacilli in the urine may or may not be grave. I shall consider it first, from the point of view of discovery of tubercle bacilli in the routine examination of the urine of tuberculous patients; and, secondly, from that of finding tubercle bacilli in the urine of a patient with symptoms, more or less pronounced, referable to the urogenital tract. ACID-FAST BACILLI Before discussing these points, however, I would like to say a word about the acid-fast organisms and their differentiation from tubercle bacilli. The cold blooded tubercle bacilli, while possibly slightly infectious for man, and while it is possible that they might be excreted through the kidneys when injected into the body or circulation in large quantities, can in most patients be disregarded. Lepra bacilli and acid-fast streptothrices (actinomycosis) play here a small part also. The milk and butter bacilli and the timothy hay bacilli

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