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Previous Volume 329:1428 November 4, 1993 Number 19 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: We agree with Clark and Keroack when, in their letter entitled "Pneumococcal Appendicitis in a Man with HIV Infection" (April 29 issue),¹ they assert that "perforating gangrenous appendicitis is rarely a unimicrobial process." Over a period of two years, we have observed only 7 cases of unimicrobial infection after studying 43 intraoperative samples of appendicular pus². The infection was found in all the patients who had been given preoperative antibiotics. Streptococcus pneumoniae was isolated in two cases, but always in association with other bacteria (Bacteroides fragilis and Escherichia coli). We do not exclude the possibility of . . . [Full Text of this Article]

References

Related Letters:

Pneumococcal Appendicitis in a Man with HIV Infection
Clark J. A., Keroack M. A.
Extract | Full Text  
N Engl J Med 1993; 328:1282, Apr 29, 1993. Correspondence

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