• Congenital Rubella Syndrome in Fiji, 1995-2010

      Singh, Sheetalpreet; Bingwor, Frances; Tayler-Smith, Katherine; Manzi, Marcel; Marks, Guy B; Health Information Unit, Division of Health Information, Research and Analysis, Ministry of Health, Government Buildings, P.O. Box 2223, Suva, Fiji. (Hindawi Publishing Corporation, 2013-02-03)
      Setting. A nationwide study in Fiji. Objective. To describe the incidence of congenital rubella syndrome (CRS) and its relationship to the incidence of notified cases of rubella in Fiji from 1995 to 2010. Design. Descriptive, retrospective review of all recorded congenital abnormalities associated with live births in Fiji over 16 years. Results. There were 294 infants who met the criteria for CRS. Of these, 95% were classified as "suspected" cases, 5% were "clinically confirmed," and none were "laboratory confirmed cases". There was a significant linear increase over the study period in the incidence of CRS (odds ratio 1.045 per year, 95% CI 1.019 to 1.071, P ≤ 0.001). There was no significant association between the incidence of CRS and the reported incidence of rubella (P = 0.3). Conclusion. There is a rising trend in reports of suspected CRS cases in Fiji. This highlights the need to strengthen surveillance for CRS through improvements in clinical and laboratory diagnosis to confirm or exclude suspected cases. It is also important to ensure high coverage of rubella vaccination in Fiji.
    • Unusual presentation of acute annular urticaria: A case report

      Guerrier, Gilles; Daronat, Jean-Marc; Deltour, Roger; Epicentre, Paris, France; Agence de Sant´e, Wallis, France (Hindawi Publishing Corporation, 2011-07)
      Acute urticarial lesions may display central clearing with ecchymotic or haemorrhagic hue, often misdiagnosed as erythema multiforme, serum-sickness-like reactions, or urticarial vasculitis. We report a case of acute annular urticaria with unusual presentation occurring in a 20-month-old child to emphasize the distinctive morphologic manifestations in a single disease. Clinicians who care for children should be able to differentiate acute urticaria from its clinical mimics. A directed history and physical examination can reliably orientate necessary diagnostic testing and allow for appropriate treatment.