Childhood dengue shock syndrome in Trinidad

Dengue haemorrhagic fever/dengue shock syndrome (DHF/DSS) is a major cause of hospitalisation and mortality among children in South East Asia. We now report, for the first time, the occurrence of DHF/DSS in Trinidadian children. The presence of vomiting, abdominal pain and hepatomegaly in the setting of a dengue epidemic should alert clinicians to the possibility of DHF/DSS. Timely diagnosis and aggressive supportive treatment are essential for a successful outcome. Source reduction, vector control and community participation are also necessary to avert the South East Asian scenario from emerging in the Caribbean.

Hoarseness following brachial plexus block

A case is described in which the patient developed hoarseness following a left brachial plexus block, using the supraclavicular approach. Possible paralysis of the left recurrent laryngeal nerve is discussed