Southern Pacific Rattlesnake bite: a unique clinical challenge.

The Southern Pacific Coast Rattlesnake (Crotalus Helleri) is responsible for most of the snake bites in the coastal area of California from Los Angeles to San Diego. However, Crotalidae polyvalent immune ovine Fab fragments are not made from the venom of C. Helleri.

Adolescent chest pain.

Chest pain in adolescents rarely indicates serious organic pathology. Musculoskeletal disorders are the most common identifiable causes; psychogenic, respiratory and gastrointestinal disorders are also part of the differential diagnosis. Although cardiac disease is part of the differential diagnosis, it is very rare in this age group.

Recovery of an unusual Flavobacterium group IIb-like isolate from a hand infection following pig bite.

An unusual gram-negative rod (RMA 1571) was isolated from a hand infection following a pig bite. This unclassified isolate was characterized by growth requirements, microscopic examination, biochemical characteristics, antimicrobial susceptibility tests, and cellular fatty acid analysis. It was indole positive and produced yellow-pigmented growth, which placed it in the genus Flavobacterium, but its other features, including cellular fatty acid analysis, did not appear to be those of a named species.

Priapism as a sequela of chlorpromazine therapy.

A patient developed priapism following a single intramuscular injection of chlorpromazine for hiccups. Conservative management was unsuccessful. During surgical intervention on the 15th hospital day, the corpora cavernosa of the turgid penis was irrigated and aspirated with heparinized saline using No14 gauge needles.