To the Editor: Patients infected with HIV have increased susceptibilityto infection with Streptococcus pneumoniae. A 28-year-old manwith hemophilia A was recently admitted to our hospital witha two-day history of malaise, sweats, and pain in the rightlower quadrant. He was infected with HIV and had a CD4+ cellcount of 390 per cubic millimeter. He received one dose of clindamycinand gentamicin before being taken to the operating room, wherea gangrenous appendix measuring 6 by 3 cm was removed. Treatmentwith imipenem was begun, and the patient recovered uneventfully.Cultures of blood were negative. The intraoperative . . . [Full Text of this Article]
Capdevila, O., Pallares, R., Grau, I., Tubau, F., Linares, J., Ariza, J., Gudiol, F.
(2001). Pneumococcal Peritonitis in Adult Patients: Report of 64 Cases With Special Reference to Emergence of Antibiotic Resistance. Arch Intern Med
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(1993). More on Pneumococcal Appendicitis. NEJM
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