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Previous Volume 356:311 January 18, 2007 Number 3 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: In the Clinical Problem-Solving article, "Lost in Transcription" (Oct. 5 issue),¹ Kalus and colleagues quickly home in on a medication error involving methotrexate overdosing as the likely cause of the patient's fever and presumed urosepsis. However, they do not discuss the fact that this patient, who was reportedly allergic to penicillin, received piperacillin–tazobactam as treatment for her urosepsis — an error that could be more deadly in the immediate future if she did have a true allergy.

Jennifer Harris, M.D.
Alameda County Medical Center
Oakland, CA 94602

1. Kalus RM, Shojania KG, Amory JK, Saint S. Lost in transcription. N Engl J Med 2006;355:1487-1491. [Free Full Text]

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