chapter  14
14 Pages

Urinary Tract Infections: Idiopathic Hematuria, Interstitial Cystitis, and Others

The world's foremost detectives for solving urinary tract infections must be in Tulane University, the Veterans Administration, and the Charity Hospitals of New Orleans. Domingue and Schlegel found L-phase organisms in 1 05 of 502 patients (2 1 %) , whose cultures were negative for classical organisms. 14 Preadministration of an antibiotic could not be responsible for every incidence of the

variants ; sometimes no therapeutic agent had been administered. The study included finding L-forms in the urine of a patient with a 2-year history of repeated pyelonephritis and the subsequent isolation of the identical L-form from the cortex, medulla, and papillae of the involved kidney.