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JAMES M. CHAMBERLAIN, MD
Trauma Center Children's Hospital National Medical Center 111 Michigan Ave NW Washington, DC 20010

RICHARD L. GORMAN, MD
Maryland Poison Center and St Agnes Hospital 20 N Pine St Baltimore, MD 21201

Am J Dis Child. 1989;143(3):274.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—We thank Drs Torphy and Bonadio for their comments. These clinicians present data to answer a different question from that which we attempted to answer in our study. We determined the rate of occult bacteremia in children with simple febrile seizures, whereas Drs Torphy and Bonadio report occurrences of simple febrile seizures in children with bacteremia.

Dr Torphy notes that bacteremia has been associated with simple febrile seizures since 1967. Our study grew out of the desire to determine the rate of occult bacteremia in these patients.

Dr Bonadio raises an interesting question. Is there something unique about bacteremia caused by S pneumoniae that makes a patient more likely to experience a febrile convulsion? To answer this question directly, one would need to compare the rate of febrile seizures in a group with pneu-Proportion of Patients With Streptococcus pneumoiae vs Haemophilus influenzae Source, y URI/FUO Otitis Media Pneumonia Other Total . . . [Full Text PDF of this Article]

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