Increasing incidence of severe Epstein-Barr virus-related infectious mononucleosis: surveillance study.

Older patients are more susceptible to severe Epstein-Barr virus (EBV)-related infectious mononucleosis (IM). This condition may increase in industrialized countries where primary EBV infection occurs later in life. Between 1990 and 2004, 38 patients were admitted to our department with EBV-related IM.

Assessment of peri-extubation pain by visual analogue scale in the adult intensive care unit: a prospective observational study.

Objective: This prospective observational study was undertaken in order to assess pain experienced by intensive care unit patients at the time of extubation and to identify factors associated with pain of at least moderate intensity.

Design: Prospective observational study.

Setting: Intensive care unit at a university hospital.

Reversible spongiform leucoencephalopathy after inhalation of heated heroin.

Objective: To describe the clinical course and imaging findings in a young man who developed a spongiform leucoencephalopathy from heroin-vapour inhalation, and to discuss the treatments which may have contributed to the unexpected favourable outcome in this case.

Design: Case report.

Setting: Intensive care unit of a university teaching hospital.