rhagic complications. One of our patients, a 54 year old university lecturer, was admitted three weeks after a one month holiday in India. He gave a five week history of fever, night sweats, and lethargy accompanied by severe insomnia, impaired concentration, and poor short term memorv. Physical examination and radiological and laboratory investigations all yielded normal results, and his temperature remained normal throughout his admission. Depression was diagnosed and he was treated with amitryptyline, but serological testing showed a titre of >1/256 to antibody to dengue virus, which three weeks later had risen to 1/1024. At follow up three months later his depression had improved but he still had poor concentration and had been unable to return to work. Depression has been recognised as a common sequel of dengue for many years. Dr Rush, who first described "breakbone fever" in 1789, noted this symptom in his patients, one of whom implored him to change the name of the disorder to "breakheart fever. "2 FinallyN, it is important to recognise that haematological abnormalities are not exclusive to the haemorrhagic complications of infection with dengue virus. We reviewed the blood counts of our last 10 patients and found that five had leucopenia (leucocytes

Breast cancer screening: the current position.

rhagic complications. One of our patients, a 54 year old university lecturer, was admitted three weeks after a one month holiday in India. He gave a f...
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