Irish journal of medical science
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We report three cases of suppurative sinusitis that presented to our casualty department over a one week period. All three patients suffered complications of the disease secondary to extension of the inflammatory process beyond the bony confines of the sinus. None of the patients had previous history of sinus disease. We wish to remind the clinician that such complications still exist and we highlight the necessity of rapid diagnosis and early intervention in the management of complicated sinus disease.
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We describe three cases of disseminated herpes zoster occurring in the elderly, and discuss the investigation and diagnosis of this condition. The presentation may be atypical with excoriated papular lesions. We suggest that disseminated herpes zoster does occur in the non-immunocompromised elderly patient, and is sometimes overlooked.
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Historical Article
One hundred and fifty years of anaesthesia in obstetrics--Irish connections.
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Eleven children with Pseudomonas aeruginosa infection complicating foot puncture wounds were reviewed. Delay in presentation (mean 2 days) and diagnosis (mean 9 days) due to a paucity of clinical signs of deep infection was characteristic of this condition. ⋯ Treatment involved multiple surgical debridements and prolonged intravenous antibiotic therapy. The clinical outcome was good although long-term radiographic changes were common.
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We reviewed the incidence of early and late diagnosed CDH over a 13 yr period in a single maternity with a well established follow-up program and a stable population base. In March 1991, all newborn infants were nursed in the lateral or supine position, having previously been nursed prone. In addition, a dedicated hip screener was appointed in October 1992. We wished to determine whether these changes could have led to a reduction in late diagnosed CDH. ⋯ Nursing infants in the supine or lateral position and the introduction of a single hip screener were associated with a reduction in the incidence of late diagnosed CDH. Routine hip radiographs of high risk infants at 6 months of age proved to be a valuable safety net in detecting a significant proportion of previously undetected infants with CDH.