Publisher's Synopsis
Excerpt from Chronic Interstitial Nephritis and Arteriosclerosis
In short, although there are variations of glomerular lesions, and we encounter forms of inflammation of the kidney stroma, there does not appear to be any diflerence in the causative agent, most frequently the Streptococcus viridans. We must, however, point out that the bacterial infection reaches the kidney under different circumstances, and in a somewhat different form, in the various systemic diseases in which it is met. It is the_bacterial clusters or small infective thrombotic masses which are liberated in heart disease that give rise to a type of glomerular infarction. In this way particular structures in the kidney are more intensely involved than others. So, too, in cases of bacteriemia, by organ isms of low virulence, the kidney, as well as other organs, becomes a local focus of infection and this is particularly true in the bacteric mia of acute rheumatic fever in which the heart and bloodvessels are also affected. In these infections the heart may be involved in a variety of ways, and when the endocarditis becomes well marked the kidney may be subject to embolic processes in its glo meruli, so that both the acute interstitial and the glomerulonephritis are simultaneously prominent. Hence it is obvious that to state that a definite type of kidney lesion is constantly to be found as a disease associated with infection of other organs is only voicing a rule with prominent exceptions. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.