Pyelitis in Toxemias of Pregnancy

Chronic Pyelonephritis and Arterial Hypertension

“…He stated, however, that hypertension does not occur in that disease if there are extensive areas of intact parenchyma. Peters (8), Peters, Lavietes and Zimmerman (9), and Zimmerman and Peters (10) have called attention to the frequency with which pyuria and eclampsia are associated in pregnancy and suggested a relation between urinary tract infection and hypertension. Kimmelstiel and Wilson (11) studied thirteen patients with acute diffuse pyelonephritis; nine died in uremia, and hypertension was present in four of these.…”

Pathology of Pregnancy Toxemias

“…Case 8250 (For details of history see (1), Case 7.) Kidney trouble after first pregnancy in 1910, succeeded by recurrences and exacerbations with pregnancies in 1914,1918,1920,1922 Necropsy.…”

“…Case A9526 (For details of history see (1) ing of pain in the right lower quadrant of the abdomen, palpitation, dyspnea and increasing urinary frequency, her blood pressure was 250/150, heart slightly enlarged with a systolic murmur at the apex, the optic discs blurred, tortuous vessels, scars and hemorrhages in the retinae, tenderness in both lower quadrants of the abdomen, urine containing a faint trace of albumin, rare leukocytes and casts, blood nonprotein nitrogen 26, blood count normal. She was admitted to the hospital where pregnancy was terminated by hysterotomy and the Fallopian tubes were sectioned and ligated.…”

“…In 10 instances, only the briefest clinical notes are given, because these cases have been reported in detail in another connection elsewhere (1). A brief tabulation of the patients appears in Table I.…”

John P. Peters and nephrology

“…Peters was greatly interested in the phenomena of toxemias of pregnancy [19][20][21]. He held a unified view, decrying the notion that eclampsia was a different disease from preeclampsia simply because it presented with seizures and emphasizing the predisposing nature of underlying renal and vascular disease.…”