Abstract

EDITOR, - Jonathan H Raphael comments on the likely aetiology and antibiotic treatment of epiglottitis in adults.1 He describes a case caused by Streptococcus pyogenes in which improvement occurred only after benzylpenicillin was added to cefuroxime. The organism “proved sensitive to benzylpenicillin but resistant to cefuroxime.” While no one would question that benzylpenicillin is the antibiotic of choice for serious infections due to S pyogenes, the author does not make …

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