Prevalence of behaviour disorders in low birthweight infants

OBJECTIVE--To determine the prevalence of behaviour disorders in low birthweight infants. DESIGN--Children of birth weight < or = 2000 g born to mothers resident in Merseyside in 1980-1 assessed using the Rutter parent and teacher behaviour questionnaires and the Conner modification of the Rutter teacher questionnaire. Children attending normal schools were assessed with controls matched for age, sex, and class in school. Children attending special schools were assessed unmatched. SUBJECTS--233 matched case-control pairs attending normal primary schools and 46 unmatched children attending special schools. SETTING--Primary and special schools. MAIN OUTCOME MEASURES--Emotional, conduct, and undifferentiated behaviour disorders and hyperactivity. RESULTS--On the parental questionnaire screen, 36% of the cases and 22% of the controls had a behaviour disorder and on the teacher questionnaire the proportions were 27% and 12% respectively. Hyperactivity was significantly more common among male cases than their controls (21% v 5.0%) but differed little among female cases and controls (9% v 7%). CONCLUSIONS--Improving neonatal survival of low birthweight infants is accompanied by a higher prevalence of behaviour disorders. The long term implications for psychiatric morbidity and other adult disease must be monitored.     

Bronchoscopy of symptom free patients infected with human immunodeficiency virus for detection of pneumocystosis.

No evidence of Pneumocystis carinii infection was found in eight symptom free patients who were positive for the human immunodeficiency virus and who underwent bronchoscopy, bronchoalveolar lavage, and brush biopsy. This suggests that the presence of Pneumocystis carinii in bronchoscopy material is likely to indicate pneumocystis infection.     

Diverticulum hypopharyngis lateralis with a record of one case.

A case of lateral hypopharyngeal diverticula is reported. This type of diverticula is comparatively rare. The diagnosis can be made clinically and confirmed by x-ray examination and hypopharyngoscopy. A pharyngocoele is of differential importance as this may be present in many patients during Valsalva, but does not indicate treatment. The reported case is most probably caused by a development defect in the third branchial cleft.     

The susceptibility of muskrats and snowshoe hares to experimental infection with a chlamydial agent

Muskrats (Ondatra zibethicus) and snowshoe hares (Lepus americanus) were exposed experimentally by various routes to a chlamydial agent (designated strain M56) originally isolated during a die-off of muskrats and snowshoe hares which occurred in Saskatchewan during 1961. Both species were susceptible to experimental infection. Whereas M56 was highly lethal for snowshoe hares (18 deaths/19 exposed), it was less virulent for muskrats (6 deaths/20 exposed).The degree of susceptibility of muskrats to induced infections with M56 was influenced by the presence or absence of specific antibodies at the time of exposure. A febrile illness was observed in 11 of 20 muskrats. In the six that died, widespread focal necrosis was found in the liver. Following intraperitoneal or oral exposures, chronic infections were established and the agent was recovered from the brain and the small intestine up to 96 days post-infection. Specific antibodies were found in 11.8% of 127 sera of muskrats trapped form the wild in Saskatchewan, the Canadian Arctic, and Wisconsin.In snowshoe hares, M56 induced an acute, febrile, emaciating illness, and the almost invariable fatal course was short with terminal signs of opisthotonos, convulsions, and hypoglycemia. Snowshoe hares succumbed with intravenous doses of less than ten mouse intracerebral LD(50) of M56. The same syndrome was produced by intravenous, subcutaneous, and oral infections. M56 was found in high titers in all tissues examined. The highest titers were found in the liver and spleen which correlated with the pathology observed. M56 was recovered from female rabbit ticks (Haemaphysalis leporispalustris) engorging on experimentally infected snowshoe hares.