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LUMBAR PUNCTURE FOR THE RELIEF OF DELIRIUM IN LOBAR PNEUMONIA

JOHN H. MUSSER Jr., M.D.; HENRY K. B. HUFFORD, M.D.
JAMA. 1917;LXVIII(17):1231-1232. doi:10.1001/jama.1917.04270040219004.
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In pneumonia, delirium is usually a symptom indicative of a severe infection. The respiratory and vasomotor systems are as a rule, though not necessarily, also affected by the severity of the toxemia, of which the delirium is the most obvious manifestation. The control of this delirium in most cases is necessary in order to avoid throwing a greater strain on the heart than would occur under ordinary circumstances in the infection. A wild, uncontrollable delirium is dangerous, not only because it presumably indicates a severe toxemia, but also because it may rapidly exhaust the patient through muscular exertion. Inspite of the exhausting effects of delirium, the usual remedies recommended for its control are distinctly depressant. Such an effect may be desirable, as in delirium tremens when the delirium is not associated with a virulent infection, such as pneumonia, which may overwhelm the patient at any time. To give depressing drugs

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