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Correspondence
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Volume 328:1282 April 29, 1993 Number 17
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Pneumococcal Appendicitis in a Man with HIV Infection

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To the Editor: Patients infected with HIV have increased susceptibility to infection with Streptococcus pneumoniae. A 28-year-old man with hemophilia A was recently admitted to our hospital with a two-day history of malaise, sweats, and pain in the right lower quadrant. He was infected with HIV and had a CD4+ cell count of 390 per cubic millimeter. He received one dose of clindamycin and gentamicin before being taken to the operating room, where a gangrenous appendix measuring 6 by 3 cm was removed. Treatment with imipenem was begun, and the patient recovered uneventfully. Cultures of blood were negative. The intraoperative . . . [Full Text of this Article]

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More on Pneumococcal Appendicitis
Ronchetto F., Pistono P. G., Clark J. A., Keroack M. A.
Extract | Full Text  
N Engl J Med 1993; 329:1428, Nov 4, 1993. Correspondence

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