Heat-exercise hyperpyrexia.

A fatal case of "heat stroke" occurring on exercise in temperate conditions is described. Possible mechanisms for increased susceptibility are discussed and attention is drawn to a possible overlap with the malignant hyperpyrexia (MH) syndrome. The second day of strenuous exercise may be a time of special risk.

Sexually transmitted diseases profile of patients with chlamydial conjunctivitis.

During 1980-85, 1648 patients with conjunctivitis attended an Eye Hospital in Liverpool. Of these, 195 had proven chlamydial infection. On referral, only 68 adults and 27 children of this group, and 66 adults as 'contacts' attended the Sexually Transmitted Diseases Clinic.

Upper gastro-intestinal endoscopy in Nepal.

The indications for and results of 243 upper gastro-intestinal endoscopies performed in the British Military Hospital in Dharan are reviewed. The simplicity of the technique in experienced hands is stressed. It is a very cheap investigation after the initial outlay for the necessary equipment.

An unexpected cause of halitosis.

A case of long standing halitosis due to a nasal foreign body is described, and the causes of halitosis are reviewed.

Amoebic disease precipitated by corticosteroids prescribed for tuberculous pleural effusions.

One case of ameobic abscess of the liver and one case of amoebic dysentery are described in two patients who were prescribed corticosteroids as part of the intreatment for tuberculous pleural effusion. In both cases routine stool examinations prior to steroid therapy were negative for cysts or trophozoites of E. histolytica.

Mediastinal emphysema following extradural analgesia in a ventilated patient.

A case of mediastinal emphysema developing in a patient under general anaesthesia supplemented with epidural analgesia is described. A possible cause is discussed and its prevention considered.

Asthma in the army: a retrospective study and review of the natural history of asthma and its implications for recruitment.

In an attempt to define the problem of asthma in the British Army and to relate it to recruiting policy, records were obtained for all discharges from the Army and all admissions to hospital for 48 hours or more with a principle diagnosis of asthma over four years. There were approximately 50 medical discharges from asthma per year, representing about 1 in 3400 of the held strength of the Army and 6.3% of the discharges from all medical causes.

Acute salivary gland enlargement following instrumentation of the upper airway.

A case of sudden enlargement of the submandibular and parotid salivary glands following endotracheal intubation is described. The literature concerning this condition is reviewed, and the possible causes are discussed.

Hospital acquired native valve endocarditis caused by Acinetobacter calcoaceticus and treated with imipenem/cilastin.

A case of hospital acquired endocarditis due to Acinetobacter calcoaceticus in a severely burned patient is presented. Both aortic and mitral native valves were affected and the organism was resistant to most antimicrobial agents.

Inappropriate traditional treatment resulting in limb amputation.

Four cases are described where inappropriate treatment by the traditional Nepali spiritualist healer or jhankri resulted in amputation of a previously healthy limb. Such treatments may involve the use of tourniquets, burning, scarification and herbal remedies.