尿路結核に関する研究 第IV篇:尿路ツベルクリン反応

Abstract

The current changes of pathological findings in the urinary tuberculosis were described in the report III previously. It seemed to me that a tuberculin reaction test was probably helpful for the diagnosis of such cases in which the diagnosis was very difficult from the routine urological examination. With this object in view, the foll o wing three methods were done in this article 1. Vesical Tuberculin Reaction Test Tuberculin solution was injected into the vesical mucosa and the reaction on the mucosa was observed through the cysto s cope. 2. Ureteral Tuberculin Reaction Test Tuberculin solution was instilled into the renal pelvis through the ureteral catheter, and the number of tuberculous bacilli and leucoc ytes in the urine which was collected through the ureteral catheter on each side was calculated, in order to know the increase or decrease on the number of them af t er instillation. 3. Renal Tuberculin Reaction Test The same way of calculation on the renal urine as described above was done after the intracutaneous injection of tuberculin solutio n (Mantoux Reaction). The resu l t s obtained from these three different methods revealed that the vesical tuberculin reaction test was most sensitive, and in this way the obvious positive reaction was recognized even in the case which was not suspected of renal tuberculosis from the routine examination and clinical symptome.