Tropical doctor
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The viral haemorrhagic fevers are a group of diseases that share many clinical features. Ebola, Marburg and Lassa are diseases that cause a relatively small number of deaths globally, but pose special risks to medical staff due to the ease of transmission, and can have a profound impact to the communities they affect. This article gives a brief overview of diseases caused by the Ebola, Marburg and Lassa viruses. It gives some practical advice to the clinician on the diagnosis and management of these diseases.
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Otogenic tetanus is common in a developing country like India. However, adequate sedation and elimination of spasms by medical treatment is sufficient in most cases. ⋯ The authors report a 2-year-old girl who relapsed twice after near complete recovery. This communiqué is intended to highlight that tetanus is still a significant health problem in third-world countries and a relapse after such a dreadful disease is terrifying.