TY - JOUR T1 - PAin as a cause of agitated delirium AU - Meier DE Y1 - 2012/08/13 N1 - 10.1001/archinternmed.2012.2088 JO - Archives of Internal Medicine SP - 1130 EP - 1130 VL - 172 IS - 15 N2 - An 85-year-old woman with multiple medical problems, including dementia, coronary artery disease, renal insufficiency, and peripheral vascular disease, was admitted to our hospital with urosepsis. Her hospital course was complicated by the development of dry gangrene of her left foot, Candida sepsis, Clostridium difficile enterocolitis, and multiple deep sacral and trochanteric pressure ulcers. When housestaff asked her son if he wanted us “to do everything,” he always answered yes. She was able to be weaned from the ventilator and was transferred to a medical unit for continued treatment of hospital-acquired C difficile enterocolitis and wound care of her multiple stage 4 ulcers. She underwent 4 surgical debridements under general anesthesia in the operating room over a several-month period but remained persistently febrile despite continuous treatment with broad spectrum antibiotics. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2012.2088 UR - http://dx.doi.org/10.1001/archinternmed.2012.2088 ER -