DAVID P. SKLAR, M.D.
To the editor: Marantz and associates (1) convincingly show that clinical judgment cannot be relied on to distinguish serious from nonserious illness in intravenous drug abusers. However, they do not offer any evidence that all intravenous drug abusers with a fever should be hospitalized. Questions that remain include: Did any untoward events occur during the first 24 hours during which time blood cultures would be growing? How did hospitalization affect these events? Because antibiotics were not given to all patients, how did those not treated benefit by hospitalization? Could any of the patients with pneumonia have been diagnosed in the
SKLAR DP. Inability to Predict Diagnosis in Febrile Intravenous Drug Abusers. Ann Intern Med. ;108:153. doi: 10.7326/0003-4819-108-1-153_1
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Published: Ann Intern Med. 1988;108(1):153.
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