|dc.description.abstract||SUMMARY OF CONCLUSIONS:
I. Bacteria are present in the urine of patients
with mental disease.
II. They are mainly diphtheroids, both aerobes
and anaerobes, staphylococci, streptococci
and coliform organisms.
III. They appear in 90% of the cases in this series,
10% being sterile.
IV. They appear in various forms of mental disease.
V. They appear in both male and female patients,
coliform organisms appearing in nine cases
out of twenty-four females and in only
one case out of twenty-six males.
VI. There is no striding difference between the
nature of the organisms appearing in the
urine of patients with mental disease and
in the urine of patients without, except
that at present, I have no evidence that
anaerobic diphtheroids and streptothrices,
aerobes and anaerobes, appear in the latter,
though I see nothing inherently improbable
in their doing so.
VII. There is no striking difference in the proportion
in which different organisms appear
in the two types of oases, though
there may be more multiple infections in
cases of mental disease than in the others.
VIII. The bacterial content of the urine must be
studied along with the associated facts,
viz:.- the presence of albumin, sugar, and
indican, the content of cells and crystals,
the intestinal flora, and the symptoms.
Albuminuria and indicanuria occur in eight
and in five cases respectively and were
associated with symptoms in every case.
IX. In six cases out of ten the urinary flora
compared very closely with the intestinal;
in three there was a certain similarity,
though not to so marked a degree; in one
the flora were strilingly different.
X. Organisms may appear in the urine while the
patient.is having a temporary remission
XI. They may be associated with diverse symptoms
in different cases, indicating diseased
individuals rather than disease.
XII. In four out of five cases in which the urine
was sterile there were practically no symptoms.
XIII. A close correspondence is observed between the
urinary picture and the clinical picture
in those cases in which the toxic element
is very marked.||en