After 10 mg dexamethasone, blood glucose levels increase in non-diabetic and type 2 diabetic patients undergoing abdominal surgery. Poorly controlled diabetes and severe obesity can influence the development of hyperglycaemia.

Patients with vaginitis due to highly azole resistant Candida glabrata can be particularly diYcult to treat. We describe three cases of longstanding vaginal candidiasis due to C glabrata. These had failed to respond to local and systemic antifungals. Flucytosine (1 g) and amphotericin B (100 mg) formulated in lubricating jelly base in a total 8 g delivered dose, was used per vagina once daily for 14 days with significant improvement, both clinically and microbiologically. (Sex Transm Inf 2001;77:212-213)

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Pelvic inflammatory disease (PID) can be difficult to diagnose, but delaying treatment increases the risk of both acute and longterm complications. This article provides a guide to the assessment and recommended management of PID.