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We describe the use of epidural analgesia for vaginal delivery of a parturient with Klippel-Trenaunay syndrome in whom the use of repeated magnetic resonance imaging during her obstetric care allowed us to see deep haemangiomata. This also allowed the safe sitting of an epidural catheter at L1-2 to provide analgesia for labour and delivery. Klippel-Trenaunay syndrome and the anaesthetic implications of the congenital vascular abnormalities and potential coagulopathy are discussed.

SUMMARYThe serological relationship between viruses producing varicella-like exanthems in several subhuman primates, varicella-zoster virus (VZV) and herpes simplex viruses (HSV) types I and 2, was investigated. All the primate viruses were related to VZV and some to HSV also. These results show that there is a group of varicella viruses, comprising four distinct entities, some of which may be useful for the establishment of an animal model for varicella.

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