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Premature triplets each developed late onset group B streptococcal disease over a period of nine weeks. The source of the organism appeared to be expressed maternal breast milk, in the absence of clinical mastitis. Asymptomatic excretion of group B streptococcus in breast milk may be an under-recognised cause of neonatal infection.
Mydriasis due to ipratropium bromide has previously been described in children and adults. Children as young as 4 years of age may attempt to self-administer their inhalers. This possibility should be considered if an asthmatic child presents with abnormal neurological signs.
be offered, and one (20%) of those experiencing expected intraoperative death of a trauma patient felt it should be offered. Comments There was no general consensus among the orthopae-dic surgeons we surveyed about how to cope with intraoperative death. The nature of the specialty is reflected in the division between deaths during elective surgery and those… (More)