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To the Editor:—
In their paper on the "Validity of Reports of Penicillin-resistant Gonococci" in The Journal, Aug. 20, page 1808, Gangarosa and Cary state that it is not clear that species of the tribe Mimea were specifically excluded from the surveys of the sensitivity of gonococci to penicillin recently reported from the United Sates and elsewhere.In the survey described by Curtis and myself (Brit J Vener Dis34:70,1958), sensitivity determinations were performed only on strains which were fully identified as gonococci by their colonial and microscopic morphology, oxydase reaction, and fermentation tests.Organisms of the Mimea group can certainly cause difficulty in the diagnosis and treatment of urethritis, and the emphasis that Gangarosa and Cary put on the necessity for an adequate bacteriological investigation is very welcome.
Wilkinson AE. Penicillin-Resistant Gonococci. JAMA. 1961;175(1):66-67. doi:10.1001/jama.1961.03040010068023