This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (109)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Review of Thirty-Five Cases

WENDELL H. HALL, M.D., Ph.D.; DAVID GOLD, M.D.

AMA Arch Intern Med. 1955;96(3):403-412.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The complications of hypotension and shock have been reported several times in a few patients with bacteremia.* However, most reports on shock and bacteremia have given little emphasis to their association. Hypotension is frequent in typhoid fever, peritonitis, cholera, bacillary dysentery, gas gangrene, diphtheria, meningococcemia, and several rickettsial diseases. Various factors such as prostration, dehydration, fever, cardiac failure, and adrenal insufficiency have been assumed to be responsible for the hypotension, but the precise mechanism of shock in infections is far from clear.³

The hypotension that accompanies bacteremia often goes unrecognized because the signs and symptoms of bacteremia do not suggest its presence. The patient often is alert and at first may have suffused, warm, dry skin. Moreover, signs of shock such as weakness, thirst, sweating, tachycardia, and lethargy may be attributed to the infection per se. One must be alert to detect hypotension during infection, and infection may be . . . [Full Text PDF of this Article]

Author Affiliations
Minneapolis

From the Veterans Administration Hospital and the Division of Internal Medicine, University of Minnesota Medical School.

Footnotes
Submitted for publication May 26, 1955.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?