PEDIATRICS Vol. 44 No. 3 September 1969, pp. 452-453
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Children with Fevers: III

Edward B. Shaw M.D.1

1 San Francisco, California 94122

I enjoyed reading Dr. Cone's excellent paper, "Diagnosis and Treatment: Children with Fevers" (Pediatrics, 43:290, 1969), which contains many things that physicians and, hopefully, mothers should heed. I hope he will not object to two or three comments.

Just what is sepsis, or septicemia as an isolated phenomenon independent of a source? The blood culture may be positive and the source not easily determined, but a continuous bacteremia must be fed from somewhere. Sinus thrombosis, S.B.E., osteomyelitis, lymphangitis due to streptococci, infection of the umbilical vessels in the newborn, and so forth.