Although Ammor as early as 1833 pointed out clearly the essential clinical points of kidney tuberculosis, it has only been within the last ten years that the diagnosis and treatment have been placed on a sound working basis, and even to-day the frequency and importance of the lesion is not generally understood by medical men. To those of us who have been medical students for twenty-five years or more the evolution of this subject during that period furnishes some interesting reading.
Ebstein1 reviewed the subject and described the process as a cheesy inflammation involving the kidneys and renal pelvis and ureters, as one difficult to diagnose except in the presence of some evident tuberculous lesion; having a bad prognosis; as a condition in which the patient seldom lived more than a year. Ebstein states that all treatment is apparently hopeless. No suggestion of surgical interference is made.