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Previous Volume 328:582-583 February 25, 1993 Number 8 Next

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To the Editor: I very much enjoyed reading the Clinical Problem-Solving article "Treating before Knowing" (Nov. 5 issue).¹ Perhaps it was the discussant's training as a nephrologist that caused him to zero in on the glomerulonephritis. It was also probably my background as a pulmonologist that had me asking myself as I read, "But what about the green sputum?" Certainly Group A streptococcal community-acquired pneumonia is not a commonly recognized entity. What I find most interesting about the article is that the physicians caring for this patient were able to obtain the results of assays for antineutrophil cytoplasmic antibodies, antinuclear . . . [Full Text of this Article]

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