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Correspondence
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Volume 345:1643-1644 November 29, 2001 Number 22
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Pseudomonas Hot-Foot Syndrome

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To the Editor: We are surprised by the certainty with which Fiorillo et al. (Aug. 2 issue)1 conclude that the so-called pseudomonas hot-foot syndrome accounts for the unprecedented cluster of cases they describe. All 40 cases occurred 10 to 40 hours after the children had been in a wading pool, but Pseudomonas aeruginosa was found in only one child. Water samples from the pool yielded the same microorganism. Invariably, the lesions resolved with the treatment of symptoms. Effective disinfection of the water did not end the outbreak. It ceased only after the floor of the pool had been sanded, although . . . [Full Text of this Article]

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