Petković S, Sumarac Z, Petronić V, Marković V
Int Urol Nephrol. 1986;18(2):119-24. doi: 10.1007/BF02082596.
The authors present a series of 2,173 patients with renal tuberculosis seen between 1950 and 1979. This is group 1, serving only to show the incidence of renal tuberculosis during the antibiotic era. The fact is that the incidence of renal tuberculosis is going down slightly but constantly in the last years because the resistance of patients is increasing and the virulence of the TB bacillus is decreasing. The second group consists of 128 patients completely examined and the conclusion is that certain forms of very active TB have disappeared; high fever, very active forms of renal TB with deep and limited ulcerations in the kidney do not occur anymore. The third group is formed of 208 patients reviewed in order to demonstrate the residues after long antituberculotic treatment. It has been found that certain residual changes in the parenchyma are minimal but present as the remnants of antibiotic treatment indicating that probably the bilateral forms of renal TB are more common than we supposed before, in full agreement with Cibert's claim.
作者介绍了1950年至1979年间诊治的2173例肾结核患者。这是第一组，仅用于显示抗生素时代肾结核的发病率。事实上，近年来肾结核的发病率一直在轻微但持续下降，原因是患者的抵抗力在增强，结核杆菌的毒力在减弱。第二组由128例经过全面检查的患者组成，得出的结论是某些非常活跃的结核形式已经消失；高热、肾脏有深部且局限溃疡的非常活跃的肾结核形式不再出现。第三组由208例接受复查的患者组成，目的是展示长期抗结核治疗后的残留情况。已发现实质中的某些残留变化很小，但作为抗生素治疗的残余存在，这表明双侧肾结核的形式可能比我们之前认为的更为常见，这与西伯特的观点完全一致。
