In a study of 115 patients with chronic and acute urinary‐tract infections, 26 (23 per cent) were found to have bacterial L‐forms in the urine which could be cultured in a special hypertonic medium. The most common genera of bacteria producing these forms were Proteus, Pseudomonas and Escherichia‐Aerobacter. Most of the patients had cystitis, pyelonephritis or a general diagnosis of “urinary‐tract infection.” In a case of acute exacerbation of chronic pyelonephritis, the L‐form of Proteus mirabilis appeared after eradication of the parent form with chloramphenicol. The L‐form was sensitive to erythromycin even though the parent form was not, and after therapy with this antibiotic the L‐form did not reappear for a ten‐month period of study.
L‐forms occur frequently enough in the urine to warrant culturing for these forms specifically and considering the possible significance of L‐forms in relation to the type of urinary‐tract infection and the type of antibiotic therapy used.