Twenty-eight cases of children under 11 years of age, who presented with symptomless and large abdominal swellings, have been discussed. The swellings were found in every quadrant of theï¿½ abdomen. They were situated in the abdominal wall, intraperitoneally and retroperitoneally, but the majority (16 cases) occupied the loins, were extraperitoneal and either arose from the kidneys or were clinically indistinguishable from renal swellings. Among the latter were two large retroperitoneal abscesses and a tremendous choledochal cyst. Thirteen of the swellings had their origin in some part of the urinary system. The cases could be classified into 4 groups, viz. congenital (9), inflammatory (4), neoplastic (13) and hydatid disease (2). The congenital group included 6 anomalies of the urinary system, a mesenteric cyst, a retroperitoneal cyst, and an unusual case of a choledochal cyst in a girl who had never been jaundiced. The inflammatory group included 4 cases with low-grade abscesses, 2 of which were retroperitoneal. All the swellings encountered in infants less than 3 months old were due to congenital anomalies. Three out of every 4 swellings in the age-group 11 months to 5 years were malignant neoplasms. In children aged 6 to 10 years, most of the swellings were benign cysts and no malignant tumours were found. The most striking feature about the series was the high incidence of neoplastic disease.
1. The clinical and haematological findings in 14 African and Indian patients with severe megaloblastic anaemia associated with pregnancy or the puerperium are descriptionbed. Clinically detectable malnutrition was not present. 2. This anaemia was found to be the commonest megaloblastic anaemia encountered among Africans and Indians. 3. One patient died of suppurative pyelonephritis. In the remainder response to treatment with folic acid or with vitamin B12 (2 cases) was very satisfactory. No case was transfused.
*A paper read at the South African Medical Congress, Johannesburg, September 1952. 1. Thirty-four cases of cervical infection, of which 12 resulted in pregnancy, have been presented. The advisability of performing as a routine both vaginal and cervical cultures for diagnosis and sensitivity tests is demonstrated. 2. In cases of long-standing sterility it is advisable, even where there is no visible cervical discharge, to take vaginal and cervical swabs for bacteriological investigation. 3. Antibiotic treatment can be advantageously combined with antibiotic intracervical therapy in order to obtain the best results. 4. In cases of lipiodol investigation of the uterus special importance should be attached to the X-ray appearance of the cervix in order to detect signs of existing or healed cervicitis.
1. Eighty-five males with uncomplicated non-specific urethritis were treated with a minimal dose of 3 daily injections of 600,000 units of procaine penicillin with aluminium monostearate, or its equivalent, with 36 treatment failures within 3 post-treatment months. 2. The failure rate was significantly higher in those who had previously received streptomycin or sulphonamides than in those who were previously untreated. 3. Penicillin is considered on a par with sulphadiazine, and neither drug is considered satisfactory for the routine treatment of non-specific urethritis.