BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7009.886 (Published 30 September 1995) Cite this as: BMJ 1995;311:886

Another case of bat rabies has been reported from the United States (Morbidity and Mortality Weekly Report 1995;44:625-7). A girl aged 4 died of the disease, and a bat that had been found dead in her bedroom a month before she became ill was exhumed and found to have rabies virus DNA in its brain. Since 1980, 12 of the 25 confirmed deaths due to rabies in the United States have been linked with bats. Postexposure treatment should be given whenever there are grounds for considering a bat bite to be a possibility.

Half way through a marathon a man aged 32 found that pain in his hip and groin, which he had had for a week, had worsened to the point that it prevented him taking his weight on the leg. The case report in “Injury” (1995;26:491-3) describes how he twice attended a major teaching hospital but no radiographs were taken; eventually, after six weeks, an x- ray film confirmed the clinical diagnosis of a displaced stress fracture of the neck of his femur. Six months passed before he could be advised to allow unprotected weight bearing.

Twenty years after the recognition of Lyme disease it is worth recalling that the mother of one of the early patients had great difficulty in …

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