Intended for healthcare professionals

Rapid response to:

Clinical Review State of the Art Review

Sepsis: pathophysiology and clinical management

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i1585 (Published 23 May 2016) Cite this as: BMJ 2016;353:i1585

Chinese translation

该文章的中文翻译

Rapid Response:

Penicillin is still the best for streptococcus pyogenes and pneumococcal pneumonia!

Dear Sir,

I would like to congratulate Dr. Walid Al-Wali.

And most important is the message of Prof. Cleary and Prof. Rohde:
Streptococci are intracellular microbes.

You will not find them by swab.

And the the blood-stream infection by streptococci is only the tip of the iceberg of not diagnoses streptococcal infections.

And the best treatment is penicillin.

Best wishes

Yours Friedrich Flachsbart

Lit.:
J. J. Ferretti, D. L. Stevens, V. A. Fischetti: Streptococcus pyogenes: Basic Biology to clinical manifestations. (Internet)
University of Oklahoma Health Sciences, 2016.
http://www.ncbi.nlm.nih.gov/books/NBK333432/

M. Rohde, P. P. Cleary: Adhesion and invasion of Streptococcus pyogenes into host cells and clinical relevance of intracellular streptococci.
a. a. O.
http://www.ncbi.nlm.nih.gov/books/NBK333420/

Competing interests: No competing interests

02 July 2016
Friedrich Flachsbart
retired gp
Germany, 37085 Göttingen, Eisenacher Str. 6