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September 11, 1943


Author Affiliations

Galveston, Texas. Professor of Surgery, University of Texas Medical Branch.

JAMA. 1943;123(2):112. doi:10.1001/jama.1943.02840370044017

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To the Editor:—  I am much interested in an article which appeared in The Journal, July 3, reporting the death of a patient alleged to be due to acute agranulocytosis due to the administration of succinylsulfathiazole. I feel that it is highly important that all toxic manifestations, especially the more serious ones such as acute agranulocytosis following the administration of the sulfonamides, be given special consideration. I do not, however, feel it at all desirable that questionable occurrences of drug sensitivity should be reported dogmatically as being due to the sulfonamides. In this report it appears that the patient was probably sensitive to sulfathiazole, and I should like to refer to one such observation which I reported in a paper entitled "Succinylsulfathiazole: An Adjuvant in the Surgery of the Large Bowel" (The Journal, Sept. 26, 1942, p. 265). Under the subtitle "Toxicity of Succinylsulfathiazole" an instance was reported of a

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