摘要:

ObjectiveTo report a recent fatal case of encephalitis associated with evidence of Murray Valley encephalitis virus infection, only the second fatality from this infection in Western Australia.Clinical featuresAn 18‐month‐old Aboriginal boy was admitted to hospital in northwest Western Australia with provenHaemophilus influenzaetype b meningitis.Intervention and outcomeAfter an initial good response to antibiotics (amoxycillin and cefotaxime) he relapsed and died with evidence of encephalitis. Analysis of serum showed a high titre of antibody to Murray Valley encephalitis (MVE) virus with the presence of specific IgM. No evidence was found for other infective agents.ConclusionIt is likely that this child died from MVE which followed his bacterial meningitis. Of the strains of mosquitoes trapped in the area of suspected infection 77.8% wereCulex annulirostris,the major vector species for MVE. No MVE virus was isolated from these mosquitoes, but serum from one of the sentinel chickens contained MVE virus antibodies, indicating the presence of the virus in that region.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1991.tb121382.x

出版商:Wiley    

年代:1991

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1991.tb121383.x

出版商:Wiley    

年代:1991

数据来源: WILEY

摘要:

ObjectiveTo develop guidelines for screening and case‐finding of children with raised serum cholesterol levels and to determine realistic cut‐points for intervention and management.DesignThe percentiles for serum cholesterol selected by authoritative US bodies for intervention were applied to the available Australian data on serum cholesterol levels in children.ConclusionOn the basis of this information we recommend a serum cholesterol level of 4.5 mmol/L as the target ceiling for Australian children; 5.5 mmol/L as the cut‐point for active dietary intervention; and 6.0 mmol/L as the cut‐point for specialist referral. A dual approach to intervention is recommended: population intervention through health promotion; and at a family level case‐finding with individual intervention targeted to children with a serum cholesterol level greater than 5.5 mmol/L, with emphasis on dietary change in both cases.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1991.tb121384.x

出版商:Wiley    

年代:1991

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1991.tb121385.x

出版商:Wiley    

年代:1991

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1991.tb121387.x

出版商:Wiley    

年代:1991

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1991.tb121392.x

出版商:Wiley    

年代:1991

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1991.tb121399.x

出版商:Wiley    

年代:1991

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1991.tb121400.x

出版商:Wiley    

年代:1991

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1991.tb121405.x

出版商:Wiley    

年代:1991

数据来源: WILEY