Intended for healthcare professionals



BMJ 2000; 321 doi: (Published 12 August 2000) Cite this as: BMJ 2000;321:460

Women with chronic diseases such as migraine or asthma often report that symptoms fluctuate in time with their menstrual cycle. Severity of ischaemic heart disease can also vary with the time of the month, researchers report in Heart (2000;84:189-92). They found that exercise tests in premenopausal women with ischaemic heart disease were best mid-cycle, when serum concentrations of oestrogen were high, and worst in the early follicular phase, when serum concentrations were low.

Unlucky travellers who catch malaria near European airports from imported mosquitoes are in double jeopardy—firstly from the disease, and secondly from delays in diagnosis (Eurosurveillance 2000;5:76-80). One 25 year old woman had severe falciparum malaria for nearly a month before someone spotted the parasites in a blood film taken for another purpose. She worked on a chicken farm 2 km away from a French airport—the presumed source of a cluster of four cases last summer. In at least one, the offending mosquito had hitched a ride out on an airport bus.

Travel medicine is becoming more of an issue for British pets now they can holiday abroad with their owners. …

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