Treatment of acute suppurative nephritis.

The diagnostic problems and treatment of acute suppurative nephritis are discussed on the basis of 146 patients. The biological properties of the pathogens isolated from urine and their manifestation with clinical symptoms are discussed. The role of incorrectly prescribed antibiotics in changing the characteristic symptoms and thus making diagnosis difficult is stressed. It appears from the material that in 20% of the operated patients all x-ray and laboratory tests gave negative results, despite the fact that in the course of operation abscesses were detected under the renal capsule. In 60% of the cases x-rays supplied reliable information for the indication of surgical intervention. The history of fever and shaking fits and the progression revealed by careful observation of the patients are considered the most important information needed for deciding for surgery.