MICHAEL L. LEVIN, M.D.
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To the editor: In reference to the answer for Question 250 (May ANNALS, p. 654), I wonder if an alternative answer might be more appropriate. Since either Streptococcus or Staphylococcus could be the causal agent for the pneumonia and empyema described, I feel drainage of the right pleural space with chest tubes and either a combination of penicillin and a semisynthetic penicillin or cephalothin would provide more appropriate coverage. While awaiting bacteriologic confirmation I think one must consider the possibility of streptococcal disease. Although it is less common than staphylococcal disease, it also would be predisposed to by the answers
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LEVIN ML. Questions of the Month: Answers?. Ann Intern Med. 1970;73:490–491. doi: 10.7326/0003-4819-73-3-490_2
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Published: Ann Intern Med. 1970;73(3):490-491.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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