JAMA. 1958;167(17):2080-2081. doi:10.1001/jama.1958.02990340040009.
Text Size: A A A
Published online

I NFECTIOUS diseases in general are characterized by inflammation, fever, and a toxic state.1 Antibiotics and the sulfonamides have been used successfully to stop the growth of the invading organisms but they do not stop the inflammatory reaction. Adrenocorticosteroids and corticotropin, hereinafter referred to simply as hormones, have no antimicrobial action but do reduce the inflammatory reaction and induce a feeling of well-being. For this reason many attempts have been made to combine antimicrobial and hormonal therapy, but unfortunately the hormones cause undesirable sideeffects when used in large doses for a long time. They may activate peptic ulcers or interfere with the body's defense mechanism. Kass and Finland2 stated that when hormones are used in conjunction with antimicrobial agents the former reduce the effectiveness of the latter thus necessitating increasing the dose of the antibiotics. Vascular collapse is one of the most serious complications of severe infection and


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.