A study was conducted in tetanus in the postneonatal pediatric age group between January, 1989 and June, 1991. Clinical profile of 55 patients was studied and outcome during this period was compared with previous years (1986-88). Although, an overall decline in total admissions was noted, only a modest decline in mortality was observed. All the patients but one were either unimmunized or incompletely immunized. More than 40% patients were from Delhi. Otorrhea was common (49.1%) in these patients. Primary immunization with booster dose in the community is stressed. Children with aural discharge should be taken as a high-risk group for tetanus and be evaluated for immunization at first visit.

Child↗

PubMedDate not supplied

Mumps hemiplegia.

Neurological involvement of mumps is commonly restricted to aseptic meningitis. However, rarely mumps is associated with more severe encephalitic illness; other known associations described with mumps are cases of transverse myelitis and Gullain Barre like illness. We report a case of hemiplegia due to mumps parotitis probably caused by involvement of carotid artery.

Carotid Artery, Internal↗

PubMedDate not supplied

Resurgence of malaria in Calcutta in 1995: a hospital based study.

A total of 405 cases of fever who were either admitted to the Hospital or attended in paediatric out patient Department or Emergency of Medical College Hospital, Calcutta between January '95 and November '95 were included in the study. Majority of cases presented with usual features of malaria like fever with chill and rigor, hepatosplenomegaly, pallor. Apart from these, complicated manifestations like shock, convulsion D.I.C and jaundice were also observed. Some unusual presentations with severe diarrhoea, dehydration and features like that of acute viral respiratory tract infection were highly confusing in terms of clinical diagnosis. P. falciparum was observed in 35.5% of cases. Overall therapeutic response to chloroquin was good, However, two patients died of cerebral Malaria. Five cases of severe malaria were caused by P. vivax however, other etiological features could not be found to attribute the severe nature of these illnesses.

Animals↗