In reply: Boyd and Hedger have raised concerns regarding the initiation and choice of antibiotics in our recent case report.1 Several aspects of this correspondence need to be addressed. The primary focus of the article was to highlight an important and probably underrecognised cause of unexplained metabolic acidosis, and discussion regarding antibiotic choice was not within the scope of the article.
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- 1 Medical Intensive Care Unit, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
- 2 The Queen Elizabeth Hospital, Adelaide, SA.
- 1. Peter JV, Rogers N, Murty S, et al. An unusual cause of severe metabolic acidosis. Med J Aust 2006; 185: 223-225. <MJA full text>