Propranolol and periocular capillary hemangiomas: assessment of refractive effect.

Purpose: To assess the effects of systemic propranolol on refractive error in infants with periocular capillary hemangiomas.

Methods: A single-center study of consecutive patients with capillary hemangiomas treated with systemic propranolol. Refractive data were analyzed using Long's matrix formalism and the methods of Harris and Kaye.

Rat bite fever: a misnomer?

We report a case of rat bite fever (Streptobacillus moniliformis) in a young man who presented generally unwell with pyrexia, vomiting, arthralgia and deranged liver function. Two weeks before his illness he had disposed of a dead rat but was not bitten by it. This zoonotic infection was treated with broad spectrum antibiotics and he made a complete recovery.