eLetters

534 e-Letters

published between 2003 and 2006

  • Fatal Mycoplasma pneumoniae organising pneumonia in a non-immunocompromised 12-year-old girl
    Michael Tsokos

    Dear Editor

    With great interest we read the recent case report by Wachowski et al. about bronchiolitis obliterans organising pneumonia associated with Mycoplasma pneumoniae infection in a 10 year old boy.[1]

    We recently investigated a similar case of community-acquired M. pneumoniae infection in a non-immunocompromised 12-year-old girl with fatal outcome. The girl was seen by her general practit...

    Show More
  • Amitraz Poisoning
    Mehmet Bosnak

    Dear Editor

    We read with great interest the paper by Yilmaz HL and colleagues on amitraz poisoning and its epidemiology, clinical features, management, and preventive strategies.[1]

    We wish to raise some matters not discussed in the paper. First, clinical features are depending on ingested dose. Dose for intoxication estimated by the authors is 89.2 and 163 mg/kg. But, amitraz is sold as 12.5% solution and u...

    Show More
  • Education and training in the paediatric senior house officer grade
    Martin Richardson

    Dear Editor

    We read with interest Smith and Anderson’s audit on education and training in the paediatric senior house officer (SHO) grade as assessed from Royal College visits.[1] One aspect that was found to be of great concern was the lack of adequate protected education in many departments. We suggest that the concept of adequate protected teaching is unattainable and outmoded in the modern NHS.

    In...

    Show More
  • Beware CSF pressure measured under general anaesthesia
    Andrew C Gallagher

    Dear Editor

    Wraige et al describe three children suffering from idiopathic intracranial hypertension (IIH) in the absence of papilloedema [1]. MRI findings in two cases along with an initial symptomatic improvement following lumbar puncture support the diagnosis. In the third case MRI scan was normal and the child's headaches did not respond to lumbar puncture or Acetazolamide. In all three cases CSF...

    Show More
  • Resuscitation training of paediatricians
    Jesús López-Herce

    Dear Editor

    We have read the interesting paper by F Jewkes and B Phillips about resuscitation training of paediatricians [1]. In our opinion, the authors have made a description focused on the development of teaching in paediatric resuscitation in United Kingdom, with some but incomplete reference to the correspondent activities in other countries. In this sense, we would like to contribute with a summary of the...

    Show More
  • Role of Bordetella heat-labile toxin in pulmonary hypertension in pertussis
    Mineo Watanabe

    Dear Editor

    We have interest in the case of pulmonary hypertension (PHT) with B. pertussis infection, described in paper of Casano et al.[1] We think the Bordetella heat-labile toxin (HLT) or dermonecrotic toxin may have a role of the PHT. The toxin causes contraction of various smooth muscles.[2,3] Endoh et al. suggested that an increase of the perfusion pressure was induced in perfused lung of guinea p...

    Show More
  • Authors' reply: refractory autoimmune haemolytic anaemia in a young infant without SCID
    Pak C. Ng

    Dear Editor

    We note the concern of Arkwright and colleagues [1] that the young infants described in our recent report [2] might have co-existing severe combined immunodeficiency (SCID). This possibility was, indeed, considered by our haematological and intensive care teams, but was not found to be the case, because:
    (i) on the day of admission, the infant had already recovered from the initial...

    Show More
  • Severe food allergy in childhood
    Andrew T Clark

    Dear Editor

    We thank Colver, MacDougall and Cant for their response to our paper.[1] The message underpinning our paper was that severe allergic reactions to foods are not as uncommon as MacDougall et al. suggested.[2] However, we are not comparing like with like and the problem lies in the definition of a severe food reaction. MacDougall et al. only identified the extreme end of the clinical s...

    Show More
  • Severe autoimmune haemolytic anaemia in an infant: watch out for SCID!
    Peter D Arkwright

    Dear Editor

    We wish to highlight our concerns on the interpretation of the case report presented by Ng and colleagues.[1] An 8 week old infant boy who presents with a fever, pallor, jaundice and hepatosplenomegaly and goes on to develop fulminant RSV bronchiolitis and disseminated Candidiasis from which he dies strongly suggests that severe combined immunodeficiency (SCID) as the underlying diagnosis. We and others...

    Show More
  • Lung function and low birth weight
    Michael Silverman

    Dear Editor

    Dr Anand still refuses to quote our work accurately there was of course a difference between those preterm children who had received ventilatory support and those who had not, but this difference was almost entirely explained, in multiple regression, by birthweight. Hence their conclusions largely support our 1989 study.

    Yours faithfully

    Professor Michael Silverman
    ...

    Show More

Pages