Transient sinus node dysfunction with acute hepatitis of unknown etiology

We reported a case of a 72-year-old male, known diabetic on insulin, referred because of complete atrioventricular block. He was found to have acute hepatitis during which he developed transient atrial arrhythmia, and sinus node dysfunction. His cardiac symptoms disappeared completely after hepatitis improvement. All of his cardiac investigations were normal including electrocardiogram, echocardiography and thalium stress test. At 3 and 6 months follow up, his Holter monitoring did not show any further arrhythmia, and he denied any further episodes of palpitation or pre-syncope. We reviewed the literature regarding the relationship between hepatitis and atrial arrhythmia

Relationship between breast-feeding duration and acute respiratory infections in infants

To study the relationship of breast-feeding duration on the frequency of respiratory tract infections in infants during the first 2 years of life. A retrospective study where the files of infants randomly selected from Shamasan Primary Health Care Center were analyzed for different related factors and frequencies of respiratory infections. The mean duration of lactation was shorter than in previous national reports [5.1 +/- 3.4months]. The frequencies of respiratory infections were high in the first 2 years reaching an average of 9.2 +/- 4.1 attacks per infant. The lower respiratory tract suffered more frequent attacks than the upper averaging a rate of 5.6 +/- 2.6 attacks per infant compared to 3.7 +/- 2.2 attacks per infant. The multiple regression models pointed out to highly significant predictors for respiratory infection rates: Lactation duration [p<0.001] for the 2 years rates, child rank [p<0.001] for the first year rates and family income [p<0.001] for the 2nd year rates. The lactation duration has an important relation to the frequency of respiratory infections in infancy. Every effort should be made to encourage and support longer duration of breast-feeding

Bilateral complete optic nerve head avulsion

The case of a 17-year-old boy who suffered a bilateral optic nerve head avulsion following severe facial trauma from a motor vehicle accident is reported. The diagnosis was based on clinical evaluation of both fundi and serial fundus photographs. To the best of the authors' knowledge, this is the first case of bilateral optic nerve head avulsion to be documented, although rare incidences of unilateral events have been reported