The existence of a fatigue syndrome after glandular fever

SYNOPSISThis prospective cohort study was designed to test whether a distinct fatigue syndrome existed after the onset of glandular fever. Two hundred and fifty primary care patients, with either glandular fever or an ordinary upper respiratory tract infection (URTI) were interviewed three times in the 6 months after the clinical onset of their infection. At each interview a standardized psychiatric interview was given and physical symptoms were assessed.There were 108 subjects with an Epstein-Barr virus (EBV) infection; 83 subjects had glandular fever not caused by EBV and 54 subjects had an ordinary URTI. Five subjects were excluded because they had no evidence of an infection. Principal components analyses of symptoms supported the existence of a fatigue syndrome, particularly in the two glandular fever groups. The addition of symptoms not elicited by the standard interviews gave the full syndrome. This included physical and mental fatigue, excessive sleep, psychomotor retardation, poor concentration, anhedonia, irritability, social withdrawal, emotional lability, and transient sore throat and neck gland swelling with pain. A fatigue syndrome probably exists after glandular fever.

The neck and chest glands of the Australian hopping-mice, Notomys

The gross and microscopical anatomy of the neck glands of Notomys alexis, N. mitchellii, N. cervinus and N. fuscus is described. In N. alexis, N. mitchellii and N. fuscus the glandular area was composed of a sheet of sebaceous-type glands supported by a small amount of connective tissue. The gross morphology of the glandular area varied between these three species, being simplest in N. mitchellii and most complex in N. fuscus. N. cervinus had no neck gland, but males had a gland made up of a mass of lobules separately embedded in a connective tissue stroma in the sternal region. In all species the glandular area was active in all adult males, but in females only during pregnancy and lactation. It is considered that territorial marking and marking of group members, including newborn young, are among the most likely uses of the glands.

Metastatic neck node - a clinical study of 60 cases

Metastatic neck node is not uncommon in the otolaryngology department of a tertiary level hospital. Ignorance, illiteracy, delay in seeking medical advice and poor orientation of our general practitioners regarding management causes these patients to suffer from marked morbidity and mortality. It is a prospective study with random selection of sixty (60) cases of metastatic neck node admitted in the otolaryngology department of BSMMU and Dhaka Medical College Hospital during a period extending from September, 2002 to August, 2003. Here 53(88.33%) cases of metastatic neck nodes having a known primary in the head neck region and in other seven (11.67%) cases primary site of malignancy could not be detected. The commonest site of known primary was supraglottic larynx. Highest number 19 (31.67%) of presentation was seen in 5th decade. Male incidence 47 (78.33%) was more compared to female 13 (21.67%). Keywords: Neck gland, Metastatic neck node, Unknown primary.DOI: 10.3329/bjo.v15i1.4307 Bangladesh J of Otorhinolaryngology 2009; 15(1): 26-30