PEDIATRICS Vol. 64 No. 1 July 1979, pp. 124
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Letters to the Editor

Lindsey K. Grossman MD1, Prasanna Nair MD1, Joseph Papiez MD1, and Ellen R. Wald MD2

1 University of Maryland Hospital, Baltimore, MD 21201
2 Children's Hospital of Pittsburgh, 125 De Soto St, Pittsburgh, PA 15213

We appreciate Dr. Smith's comments regarding our recent paper.1 The major objective of our study was to define the likelihood of persistent pulmonary infiltrates in children initially presenting with acute pneumonia. We purposely excluded children with any history suggestive of prior immunologic, cardiac, or pulmonary disease including previous pneumonitis, and therefore our recommendations pertain only to first episodes of pneumonia. Although the number of children in this study is small and the time period covered only two respiratory seasons, our experience suggests that radiographically persistent infiltrates are less frequent than one occurrence in 70 in children with acute pneumonia.