A.S. BARRITT, M.D.
To the editor: I found Bell and colleagues' article (1) to be timely, because the problem they discuss is distressingly common in the hospital. The data are not particularly surprising but do represent an excellent summary.
As a consultant gastroenterologist, I am particularly interested to learn that the sites of infection found at autopsy of patients with bacteremia included seven peritoneal abscesses. Typically, such a patient has a paralytic ileus with vague and shifting abdominal findings. What to do! As the authors point out, the patient's condition is often so precarious as to preclude some diagnostic maneuvers.
What methods have
BARRITT A. Respiratory Distress Syndrome and Abdominal Infection. Ann Intern Med. ;100:158. doi: 10.7326/0003-4819-100-1-158_1
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Published: Ann Intern Med. 1984;100(1):158.
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