Hemophagocytic lymphohistiocytosis (HLH) is a rare, potentially lethal condition due to dysfunctional immune response causing severe inflammatory syndrome. Epstein-Barr virus (EBV) – induced HLH form of secondary HLH, very serious presentation an otherwise benign viral infection. Here we present case 31 year old previously healthy male with prolonged fever and constitutional symptoms, eventuall...

A prospective study of 199 patients over a two year period, 1 Jun 90 to 31 May 92 at the Louise Margaret Maternity Wing, Cambridge Military Hospital, Aldershot was undertaken to audit the uptake of an offer of conservative management of prolonged pregnancy to women at 42 weeks gestation. The labour outcomes of patients opting for conservative or induction management plans were recorded and the ...

The use of acupuncture during pregnancy appears to be safe and well tolerated by women in all trimesters. However, there is some debate regarding the use of certain acupuncture points that were historically considered to be forbidden during pregnancy.1 Randomized controlled trials evaluating acupuncture during pregnancy and labor where forbidden points have been used indicate there is no eviden...

Fever is a common complaint in children. In most cases, fevers are due to selflimited viral infections and require no more than symptomatic treatment. Sometimes fever is due to common bacterial infections that are diagnosed by history and physical examination and require antibiotic treatment without laboratory evaluation. In a few clinical situations, the cause of fever is not easily identified...

1260 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 13, No. 8, August 2007 India experienced the fi rst confi rmed outbreak of chikungunya fever in 1963–1964 in Kolkata (7) and in 1965 in Chennai. The last epidemic in India was reported from Barsi in the state of Maharastra in 1973 (8). However, during these outbreaks, Andaman and Nicobar Islands were not affected. Outbreaks of dengue fe...

THIS paper reviews evidence that the foetus plays a vital role in determining gestation at labour. The hypothesis was not the keystone of our work initially, but evidence of foetal regulation of the myometrium became increasingly apparent during the course of studies on uterine contractility in human pregnancy. Work on induction of labour (Turnbull & Anderson, 1967, 1968a, b) made us aware of t...

Fever is not regarded by most physicians as a prominent or common clinical manifestation of uncomplicated Laennec's cirrhosis. When present, it is generally attributed to intercurrent infection, gastrointestinal hemorrhage or, less commonly, to complicating hepatoma. However, there is reason to believe that the cirrhotic process itself may give rise to fever. Although earlier observers had comm...

Although post-term pregnancy is associated with an increased incidence of fetal distress, oligohydramnios, fetal macrosomia, fetal dysmaturity, and perinatal mortality, as many as 80% of post-term fetuses appear completely normal. The authors of this article discuss the three sub-groups of post-term pregnancies, and deal with the diagnosis and antepartum and intrapartum management of the condit...

Infection associated hemophagocytic syndrome is increasingly recognized as a potentially fatal complication of dengue fever. It should be suspected with prolonged fever beyond seven days associated with hepatosplenomegaly, hyperferritinemia, worsening cytopenias and development of multiorgan dysfunction. Surge of similar pro-inflammatory cytokines observed in dengue associated hemophagocytic sy...