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If all but two statements in our article survived the, no doubt, vigorous scrutiny of a mycologist with the stature of Dr Rippon, we are certainly fortunate. I would, however, like to reiterate the two points that we attempted to convey in our article. First, disseminated Nocardia brasiliensis infections are very rare in this country, with only four previously reported cases. Second, clinical suspicion, rapid and accurate diagnosis, and appropriate therapy are all essential if the compromised host is to survive any opportunistic infection.I am sure that Dr Rippon will agree that a group of clinicians cannot be expected to extract from the basic science literature with the accuracy of a scientist who has exerted most of his professional efforts in that particular field. I would also like to point out to Dr Rippon that while he and his students were inserting their paraffin coated rods in
Karassik SL. Nocardia: A Geographic Prevalence-Reply. Arch Dermatol. 1977;113(2):237. doi:10.1001/archderm.1977.01640020109029