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A confused drug addict: the importance of considering sepsis.

The case is reported of a 35 year old heroin addict presenting with acute confusion which was later found to be due to meningococcal meningitis. Other than his altered mental state, the only abnormal finding on examination was a mild pyrexia.

Heroin addiction--a metabolic disease.

THE METHADONE Maintenance Research Program began three years ago with pharmacological studies conducted on the metabolic ward of the Rockefeller University Hospital. Only six addict patients were treated during the first year, but the results of this work were sufficiently impressive to justify the trial of maintenance treatment of heroin addicts admitted to open medical wards of general hospit...