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Correspondence
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Volume 338:1318 April 30, 1998 Number 18
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Case 32-1997: Rocky Mountain Spotted Fever

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To the Editor: We were surprised by the description of a patient's demise at the end of the presentation of Case 32-1997 (Oct. 16 issue),1 which concluded: "The patient was declared brain-dead. She died after life-support measures were terminated."

Since the definition of brain death was established by the Ad Hoc Harvard Committee in 1968,2 the determination of death has been based on either of the following medical criteria: irreversible cessation of circulatory and respiratory functions or irreversible cessation of all functions of the entire brain, including the brain stem.3

The description of events in Case 32-1997 is of more . . . [Full Text of this Article]

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