The complications and management of meningococcal meningitis.
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Adolescent↗
Biomedical subjects
I W Fawcett
Publications and source records attributed to I W Fawcett.
Toluene di-isocyanate-induced asthma. II. Inhalation challenge tests and bronchial reactivity studies.
In sixty-three workers exposed to toluene di-isocyanate (TDI), no overall differences in bronchial reactivity to histamine inhalation and to exercise testing were found between the total groups of positive and negative TDI reactors to provocation tests. A subgroup of TDI highly sensitive subjects reacting to very low concentrations (less than or equal to 0.001 p.p.m.) were more sensitive to both histamine and exercise than the group who were less sensitive to TDI, and who reacted to higher concentrations (0.002--0.02 p.p.m.) than the group of non-reactors. There were, however, in the last group a number of subjects with high degrees of histamine reactivity who did not react to the TDI. These findings suggest that, on the one hand, the asthmatic reactions to TDI cannot be attributed solely to non-specific mechanisms and, on the other, that in subjects with high degrees of specific sensitivity non-specific mechanisms may also be playing a part.
Adult↗
The effect of sodium cromoglycate, beclomethasone diproprionate and salbutamol on the ventilatory response to cotton dust in mill workers.
A double-blind placebo controlled study of sodium cromoglycate, beclomethasone dipropionate and salbutamol by inhalation was designed to test their effect on respiratory symptoms and changes in ventilatory capacity in cotton mill workers. All three drugs showed some beneficial effect. Salbutamol was the most effective drug studied, in all groups of workers. Beclomethasone dipropionate was also significantly effective particularly in workers with byssinosis or exertional dyspnoea. Sodium cromoglycate was the least effective of the three. Possible mechanisms of action of these drugs are described.
Adult↗
Asthma due to inhaled chemical agents--epoxy resin systems containing phthalic acid anhydride, trimellitic acid anhydride and triethylene tetramine.
Six workers with a diagnosis of occupational asthma and one with chronic bronchitis were examined for sensitivity to epoxy resin systems and certain of their components. In six cases the chemical agent responsible for their symptoms was identified by careful inhalation challenge testing, simulating their exposure at work and thus providing a precise aetiological diagnosis. In one worker asthma followed exposure to triethylene tetramine fume; four were sensitive to acid anhydrides, three to phthalic acid anhydride as a fume or powder and one to trimellitic anhydride. On worker thought to be sensitive to toluene di-isocyanate gave negative reactions to this and positive reactions to a phthalic acid anhydride epoxy resin and another thought to have asthma from acid anhydride fumes was found to be sensitive only to toluene di-isocyanate. Immediate, non-immediate or combined asthmatic reactions were elicited.
Adult↗
Initial resistance of Mycobacterium tuberculosis in Northern Nigeria.
Of 61 isolates of Mycobacterium tuberculosis form patients in northernn Nigeria denying any previous treatment for tuberculosis 7 (11.5 per cent) yielded resistant cultures. Four (6.6 per cent) were resistant to isoniazid, 2 (3.3 per cent) to PAS (1 also to thiacetazone), and 1 (1.6 per cent) to streptomycin. No mycobacteria other than M. tuberculosis were isolated from these patients. These results suggest that the level of initial drug resistance in northernn Nigeria may be lower than that found in other African countries.
Aminosalicylic Acids↗
Allergy to a tetracycline preparation-a case report.
Immediate asthmatic and urticarial reactions were provoked in an affected subject by ingestion of a commercial combination of three tetracylines. No reactions were elicited by the tetracyclines given separately or prepared together as a powder; this was perhaps due to tachyphylaxis, since a test with the commercial preparation 2 months later elicited the reactions again. No reactions were elicited by the blue coating of the commercial preparation or by tartrazine.
Adolescent↗
Asthma due to 'glycyl compound' powder--an intermediate in production of salbutamol.
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Acetophenones↗
Asthma due to inhaled chemical agents--fumes from 'Multicore' soldering flux and colophony resin.
Four patients with occupational asthma associated with exposure to soldering flux or hot-melt glue containing pine resin (colophony) were subjected to occupational type inhalation challenge testing. All four gave immediate bronchial reactions to inhalation of the fumes, varying from one breath to 3 min of exposure. The clinical history and provocation test reactions suggest hypersensitivity to colophony fumes.
Adult↗
Tuberculin reaction in adult Nigerians with sputum-positive pulmonary tuberculosis.
Forty-six of sixty-eight rural Nigerian adult patients with sputum-positive pulmonary tuberculosis (P.T.B.) had skin reactions of less than 10 mm. in response to 4 or 5 tuberculin units of purified protein derivative (P.P.D.). The size of the reaction correlated significantly with serum albumin and transferrin concentrations. The diminished reaction in these patients seems to be part of a generalized depression of cell-mediated immunity associated with undernutrition rather than a specific depression of P.P.D. reactivity associated with overwhelming antigen load. It is concluded that the tuberculin test is of no value in the diagnosis of P.T.B. in this community, either in individual cases or epidemiological surveys, unless combined with a biochemical assessment of the person's nutritional status.
Adolescent↗
Bronchial asthma in the Nigerian savanna region. A clinical and laboratory study of 106 patients with a review of the literature on asthma in the tropics.
One hundred and six asthma patients were studied in Zaria in the Nigerian savanna region. This group resembled hospital attenders in general in containing a disproportionately large number of immigrants from southern Nigeria and students undergoing higher education. Childhood asthma was rare. Asthma started after the age of 19 years in 69 per cent of patients. Twenty-seven per cent gave a history of rhinitis but none had had eczema. Twenty-two per cent gave a family history of asthma. Cutaneous hypersensitivity to house dust supported by a history of attacks being precipitated by dust was found in 41 per cent of patients. Asthma was worst in the rainy season in 45 per cent of patients. Mites were found in mattress dust samples; the mean count was 243 mites per g dust; Dermatophagoides farinae formed 86-6 per cent of the total mite population. The variability of airways obstruction averaged 50 per cent of maximum values for forced expiratory volume in the first second (FEV1) and peak expiratory flow (PEF). The median severity of airways obstruction measured as FEV1/VC per cent was four standard deviations below predicted normal. Eighty-seven per cent of patients were positive to prick skin tests with one or more allergens. The commonest reactions were to house dust (58 per cent), house dust mite (45 per cent) and Dermatophagoides farinae (44 per cent). Fifty-one per cent of a group of controls were also positive on skin testing but the pattern of responses was different from the asthmatic patients. This high proportion of reactors is explained by high allergen load. Serum IgE levels were lower in the asthmatics than in a group of healthy controls who showed the very high levels characteristic of some African populations. We suggest that the controls were protected from atopic disease by developing high blocking levels of non-specific IgE, perhaps in response to gut helminths. The clinical pattern of asthma in Zaria is compared with other countries in the tropical and temperate zones. The particular problems of treating asthma in developing tropical countries are discussed.
Adolescent↗