Charles E. Schwartz, MD
To the Editors: In his recent editorial, Bone (1) makes the long overdue suggestion that the terminology related to blood-borne infection be clarified and standardized. I have often bristled at the indiscriminate use by both students and fully trained physicians of the word "septic" to describe patients with transient asymptomatic bacteremia as well as seriously ill septic patients, and I want to applaud Dr. Bone for clarifying such matters.
I was, however, struck to see no mention whatsoever of delirium (that is, acute central nervous system failure) in his delineation of indicators of the more serious end of the spectrum
Schwartz CE. Delirium with Sepsis. Ann Intern Med. 1991;114:992–993. doi: 10.7326/0003-4819-114-11-992
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Published: Ann Intern Med. 1991;114(11):992-993.
Delirium, Infectious Disease, Multi-Organ Failure and Sepsis, Neurology, Pulmonary/Critical Care.
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