Listeria monocytogenes is an opportunistic pathogen known to cause septicemia, meningitis, and rhombencephalitis. Immunosuppression is considered therapeutic when Biologic Response Modifiers (BRMs) are used in the treatment of hematological malignancies, multiple sclerosis and other autoimmune disorders. This report describes a patient receiving one such biological agent, alemtuzumab, for the treatment of multiple sclerosis and the subsequent development of Listerial meningitis complicated by hydrocephalus. This is the first alemtuzumab-associated case of Listeria monocytogenes infection reported in North America and will hopefully spread awareness of this serious but treatable complication.
Two judgments, delivered by the Bahamian Supreme Court on 27 November 2018 and 7 August 2019 in ongoing litigation brought by MV against DSL and GV, provide useful guidance on changing a governing law and the efficacy of arbitration clauses. Courts are ready to construe arbitration clauses in deeds and statutes liberally to achieve their purposes. Sometimes, the best they can do is to highlight any statutory lacuna so that the law can be changed eg by Rules of Court.
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