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MARGARET R. HAMMERSCHLAG, MD
Brooklyn, NY

Arch Otolaryngol Head Neck Surg. 1993;119(3):355.

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

To the Editor.—I recently had the opportunity to read the article in the ARCHIVES by Charnock et al¹ on the role of Chlamydia and Mycoplasma in recurrent tonsillitis. Unfortunately, it has some serious scientific and methodologic problems. The most serious problem is that the authors picked the wrong chlamydial species. It is now well accepted that Chlamydia trachomatis does not cause any respiratory disease beyond infancy. The study by Komaroff et al² cited by the authors was a serologic study; no cultures were done. In retrospect, the seroconversions they observed were probably due to cross-reactions with the newly described third chlamydial species, Chlamydia pneumoniae. Actually, to my knowledge, there are no studies of pharyngitis or pneumonia in adults that have ever isolated C trachomatis from any respiratory site, and that includes the study by Gerber et al³ that Charnock and colleagures cite as supportive data. It . . . [Full Text PDF of this Article]

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