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
LEVIN ML. Questions of the Month: Answers?. Ann Intern Med. ;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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