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To the Editor:—
In reading the communication of Dr. Alexander Zabin, in The Journal, May 2, page 1588, I was struck by his statement that "diphtheria coexistent with scarlet fever is about one in every ten thousand cases." I had always considered it far more common.While it is true that diphtheria complicating scarlet fever is not frequent during the first or even the second week of the disease, being usually a complication of convalescence and as such being referred to usually as "postscarlatinal diphtheria," it is nevertheless a not uncommon complication at any stage. As a matter of fact, Schamberg and Kolmer state that in a series of 1,259 cases of scarlet fever in which routine throat cultures were taken before or after admission to the Philadelphia Hospital for Contagious Diseases 285, or 29.25 per cent, showed diphtheria-positive cultures. Certainly the coexistence of these two diseases cannot be regarded
Levinsohn SA. DIPHTHERIA WITH SCARLET FEVER. JAMA. 1936;106(26):2253. doi:10.1001/jama.1936.02770260047022
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