Letters

Adult epiglottitis Cefuroxime is effective

BMJ 1994; 308 doi: http://dx.doi.org/10.1136/bmj.308.6933.919a (Published 02 April 1994) Cite this as: BMJ 1994;308:919
  1. K F Barker,
  2. B Patel
  1. Public Health Laboratory and Department of Microbiology, Central Middlesex Hospital NHS Trust, London NW10 7NS

    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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