South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
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Clinical and laboratory records at Red Cross War Memorial Children's Hospital, Cape Town, for the period 1976-1982 were reviewed to determine factors associated with fatal cases of measles. Pneumonia was found to be the commonest lethal complication of measles. ⋯ Severe malnutrition was present with almost equal frequency among those dying of measles and those dying from other causes, but was significantly (P less than 0,02) less common in measles patients who survived. Peripheral lymphopenia and depletion of T-cell zones in the lymph nodes and spleen were more common in those who died from measles than in others.
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This report describes a case of severe acidosis with cardiac failure due to alcohol in a black man. Treatment with parenteral thiamine produced a prompt response. Thiamine deficiency should be recognized as an important cause of lactic acidosis.