耳性腎炎の1治験例

　緒言

　絲毬体腎炎の発生機転に関しては，馬杉氏以来，アレルギー性発生が一般に承認せられ，その原病巣としては扁桃腺，その他の部位の慢性化膿性炎症が注目されている現状である。慢性中耳炎がこの原病巣となる場合も想像に難くない所であり，Lund（1917）の報告以来，多数の臨床例が報告され，本邦に於いても，小此木，大藤氏簿の臨床的，或いは実験的研究がある．

　吾々は最近，慢性中耳炎の急性増悪と同時に絲毬体腎炎を併発し，少児科医からは腎炎の為，手術を待つ樣に希望されたが，耳性腎炎を考えて手術を決行した所，驚異的早期に治癒した1例を経験したので，こゝに報告し諸家の御批判を乞う次第である．

　NIHO and his associates report that, when mastoidectomy in combination with petrousotomy were performed on a patient, a boy aged 8, who showed symptoms of acute nephritis which was manifested concommitantly with acute exacerbation of chronic otitis media, nephritis is brought to a complete cure in surprisingly short period of time. since nephritis of aural origin is not marked with criteria which may be readily differentiated from acute omerular nephritis based upon some other causes the diagnosis of this condition is often derived at after successful treatment of existing ear disease has been consumated. The authors stress the need of surgical intervention, mastoidectomy supplemented with petrousotomy, in ear diseases when they are suspected in any way a contributing factor to the nephritis.