A bleeding swan.
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Cardiac Pacing, Artificial↗
Biomedical subjects
P R Berry
Publications and source records attributed to P R Berry.
Infantile botulism.
A 4 month old boy presented with respiratory difficulty and hypotonia. Clostridium botulinum and its toxin were isolated from his faeces and he had electromyographic changes typical of infantile botulism. This is only the second case in the United Kingdom: unfamiliarity with the presentation could result in misdiagnosis.
Botulism↗
Evaluation of ELISA, RPLA, and Vero cell assays for detecting Clostridium perfringens enterotoxin in faecal specimens.
Three hundred and ninety two faecal specimens from 70 separate outbreaks of suspected Clostridium perfringens food poisoning were examined by enzyme linked immunosorbent assay (ELISA), reversed passive latex agglutination (RPLA), and Vero cell assays for the presence of enterotoxin. Although the most time consuming method, ELISA was the most specific and reproducible. RPLA was slightly more sensitive than ELISA, but it showed some non-specific reactions. The Vero cell assay was the least sensitive and least reproducible method, being affected by some non-specific cytotoxic and cytotonic reactions. Normal rabbit serum should be included in the Vero cell assay as a control for the neutralisation of cytotoxic effects.
Animals↗
Scombrotoxic fish poisoning in Britain: features of over 250 suspected incidents from 1976 to 1986.
Between 1976 and 1986, 258 incidents of suspected scombrotoxic fish poisoning were reported in Britain. Histamine analysis was carried out on 240 fish samples from these incidents, and 101 were found to contain greater than 5 mg histamine/100 g fish. The symptoms most consistently reported were rash, diarrhoea, flushing and headache. In recent years there has been a decrease in the number of confirmed scombrotoxic outbreaks and a trend towards more sporadic incidents. Of fish samples with greater than 20 mg histamine/100 g, 94% were from incidents in which scombrotoxic symptoms were characteristic, but where fish had 5-20 mg/100 g only 38% of incidents were clinically distinctive. Guidelines are presented based on the interpretation of quantitative histamine analysis of fish samples from scombrotoxic poisoning incidents.
Animals↗
Cancer treatment in the Cook Islands.
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Blood Transfusion↗
Venepuncture nerve injuries.
6 patients seen in a blood-transfusion centre had painful peripheral-nerve injuries after venepuncture in the antecubital fossa. The nerves injured were the median nerve and the medial and lateral cutaneous nerves of the forearm in the antecubital fossa. The frequency of this injury was approximately 1/25 000 venepunctures. 3 patients were treated with carbamazepine, which relieved their pain. Although all patients recovered, early recognition of this complication of venepuncture is important, since successful treatment may obviate prolonged disabling symptoms and future litigation.
Adolescent↗
Letter: Serum immunoglobulins in herpes virus infections.
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Herpesviridae Infections↗
Neurological complications of haemophilia.
Peripheral nerve lesions are well recognised complications of the haemophilias but impairment of autonomic function has not previously been reported. Two patients of the severe older haemophiliac population in the area were found to have impotence in association with signs of peripheral nerve damage. The basis proposed for this is autonomic nerve injury associated with intramuscular haemorrhage.
Autonomic Nervous System↗