A term baby was admitted to our neonatal unit with jitteriness, hypertonia, sneezing and fever. Her mother was on 20 mg of fluoxetine throughout her pregnancy. These symptoms which were possibly due to fluoxetine withdrawal lasted only for a short while. We attempt to look at the reported prevalence of this condition in the literature.

A 50-year-old farmer presented with dysphagia and chest tightness following foot trauma for the last three days. On examination, he had nuchal rigidity, trismus, hypertonia. characteristic ‘Risus Sardonicus’ face was noticed (Figure 1). The patient also developed generalized painful spasms respiratory distress stridor, which an urgent tracheostomy done. Based on clinical presentation, a diagnos...