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Correspondence
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Volume 348:1925 May 8, 2003 Number 19
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Smallpox Vaccination

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 by Rubins, K.
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To the Editor: Rubins and Relman, in their Image in Clinical Medicine (Jan. 30 issue),1 mention that a lymphangitic streak was present on day 9 and that "two physicians who examined the patient on day 10 . . . suspected bacterial cellulitis." The lesion apparently resolved within two days after its appearance, without the use of antimicrobial agents. It is nonetheless a matter of concern that antimicrobial agents were withheld despite the clinical suspicion of cellulitis.

Although it is well known that lymphangitis and cellulitis may be seen during the major cutaneous reaction associated with successful smallpox vaccination (a "robust . . . [Full Text of this Article]




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