Hypothermia and Sepsis

Letters and Corrections1 August 1985Hypothermia and SepsisNEIL E. DOHERTY, M.D., PETER FUNG, M.D., MICHELE LEFKOWITZ, M.D., A. GRAY ELLRODT, M.D.NEIL E. DOHERTY, M.D., PETER FUNG, M.D., MICHELE LEFKOWITZ, M.D., A. GRAY ELLRODT, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-103-2-308_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The Annals has shown continued interest in hypothermia (1-3). Most recently, Morris and colleagues (3) have reported that hypothermia does not alter the hemodynamic characteristics of sepsis. Like others (4, 5), they found a significant mortality associated with the concordant presentation of hypothermia and bacteremia. Therefore, we must understand what causes some patients with sepsis to become hypothermic.We retrospectively studied 26 patients with severe infections, bacteremia, and shock. Patients with core or rectal temperatures below 36.1° C were considered to be hypothermic. A 71% mortality rate was seen among 7 hypothermic patients, compared with a 37%...References1. REULER J. Hypothermia: pathophysiology, clinical settings and management. Ann Intern Med. 1978;89:519-27. LinkGoogle Scholar2. DOHERTYADESSHAHSIEGEL NAPR. Hypothermia with acute myocardial infarction. Ann Intern Med. 1984;101:797-8. LinkGoogle Scholar3. MORRISCHAMBERSMORRISSANDE DHMM. Hemodynamic characteristics of patients with hypothermia due to occult infection and other causes. Ann Intern Med. 1985;102:153-7. LinkGoogle Scholar4. HUDSONCONN LR. Accidental hypothermia; associated diagnoses and prognosis in a common problem. JAMA. 1974;227:37-40. CrossrefMedlineGoogle Scholar5. LEWINBRETTMANHOLZMAN SLR. Infection in hypothermic patients. Arch Intern Med. 1981;141:920-5. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: NEIL E. DOHERTY, M.D.; PETER FUNG, M.D.; MICHELE LEFKOWITZ, M.D.; A. GRAY ELLRODT, M.D.Affiliations: Cedars-Sinai Medical Center University of California Los Angeles, CA 90048 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe significance of altered temperature after traumatic brain injury: an analysis of investigations in experimental and human studies: Part 2 1 August 1985Volume 103, Issue 2Page: 308-308KeywordsBacteremiaDeath ratesHemodynamicsHypothermiaMortalitySepsisShockTemperature ePublished: 1 December 2008 Issue Published: 1 August 1985 PDF downloadLoading ...