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May 7, 1949


JAMA. 1949;140(1):125. doi:10.1001/jama.1949.02900360127023

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To the Editor:—  Angioneurotic edema of the glottis cannot be ruled out. This would be a part of the syndrome of anaphylactic shock. The explanation that this situation was due to the antigenic injection given four hours previously does not seem tenable for the following reasons: 1. Symptoms started within a few seconds after the injection of penicillin. 2. Reactions after an antigenic injection usually occur within two hours (except for those from bacterial antigens). Symptoms arising later would not be severe, certainly not fatal. (See references cited in the paper.) 3. There was blood on the area of the injection, which is suggestive of accidental puncture of a vein.

Note.—  The letter was referred to Dr. Waldbott, who replies:

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