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Previous Volume 328:1499-1500 May 20, 1993 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Duffy's commentary on the case of pneumococcal pneumonia presenting as abdominal pain followed by shock and death (Jan. 7 issue)¹ states that the case highlights "any number of interesting and important aspects of today's medical conundrums." The aspect of the case that struck us, as geriatricians concerned with preventive measures, is that the pneumococcal vaccination history is not mentioned. Austrian and Gold² observed in 1964 that an apparently irreducible mortality accompanied pneumococcal infection despite appropriate and rapid treatment. Their data suggested that more than 10 percent of patients presenting with pneumococcal infection were destined to die within . . . [Full Text of this Article]

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