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LESLIE L. BARTON, MD
Department of Pediatrics St Louis City Hospital 1515 Lafayette St Louis, MO 63104

Am J Dis Child. 1981;135(10):973.

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Sir.—I read with interest the article by St John et al entitled "Eikenella corrodens Empyema in Children" (JOURNAL 1981;135:415-417). Their review of the literature, however, was incomplete. In 1974, I reported the isolation of E corrodens from a paronychia.¹ The child habitually bit his nails, and infection was attributed to this trauma acting in concert with normal oropharyngeal flora in an abnormal location.

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