TY - JOUR T1 - Lucina JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 456 LP - 456 DO - 10.1136/adc.86.6.456 VL - 86 IS - 6 A2 - , Y1 - 2002/06/01 UR - http://adc.bmj.com/content/86/6/456.abstract N2 - Under one third of children account for over two thirds of general practice child consultations. A study in Southampton (British Journal of General Practice2001;51:977–82) has shown that frequent (three or more per year) child consultations are associated with council house tenancy, the parents' perception and intolerance of medically unexplained physical symptoms in the child, the parents' own frequent attendance, and parental depression or anxiety.Up to 25% of infants with severe symptomatic congenital cytomegalovirus (CMV) infection have CMV retinitis. This retinitis usually does not progress after birth but late progression has been described. It is not known whether antiviral treatment affects prognosis. A 9-day old baby in London (British Journal of Ophthalmology2001;86:248–9) had active progressive bilateral CMV retinitis with severe symptomatic (microcephaly, periventricular calcification, and occipital horn cysts) congenital CMV infection. Treatment with intravenous ganciclovir was followed by rapid resolution of the active retinal changes but there was residual damage to the eyes and at 5 months the baby was not fixating with the left eye but would fix on bright objects with the right eye. The authors of this report recommend early treatment of active congenital CMV retinitis.Infants brought to the accident and emergency department with crying or screaming as the only complaint are no more likely than … ER -