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A Study of Urinary Infections in a General Practice [Summary]

Shutdown of an apparently normal kidney following disease or manipulation of the opposite kidney is a well-known clinical entity, which is commonly referred to as reflex anuria. The diagnosis of reflex anuria is based on three criteria: (1) A normal contralateral kidney which returns to function rapidly after the disease stimulating non-function of the other kidney has been overcome. (2) Subsequent investigation of the contralateral kidney shows such normality that a pathological process is unlikely to have caused its loss of function. (3) Surgical intervention to the contralateral shutdown kidney does not result in return of function to either kidney. Three cases were presented which fulfilled the above criteria. In all three the tendency was at first to discount reflex anuria but, after careful consideration of each case, it was felt that a reflex arc, triggered offfrom one kidney to another, could cause shutdown of a normal contralateral kidney. It was also thought possible that the threshold level for stimulating activity of this arc could be lowered by other general factors affecting the health of the patient.