Idiopathic facial palsy.

Abstract

Bunnell test negative. Blood culture revealed Haemophilus influenzae type B sensitive to all the usual antibiotics except sulphonamide. This child was treated with ampicillin and made a good recovery. My point in recording this case history is to emphasize that septicaemia due to Haemophilus influenzae may not be as rare as we had thought and one can easily envisage such a child as I have mentioned developing osteomyelitis due to this organism.-I am, etc.,

Bell's palsy and its treatment

“…Since the failure-rate increases with time from onset of Bell's palsy, it is clearly unjustified to compare patients treated within the first 5 days to untreated patients first seen within 2 weeks (Matthew, 1961). The denervation-rate in patients seen within five days has recently been reported as 11 Y (Groves, 1968) and 13%Y (Campbell, 1968) which is similar to the failure-rate reported in patients treated with ACTH.…”

“…Several cogent criticisms of these studies have, however, been made (Groves, 1968;Campbell, 1968). Patients referred to hospital must always be selected (Matthews, 1961) and it is not clear whether local practitioners were asked to refer all patients or whether the study was performed on patients who happened to have been referred.…”