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A literature search (PubMed, National Library of Medicine, USA) was done with the key words, distal aphalangia, microcephaly and short stature. It provided only two documented case histories [2, 3]. The first case described three members of a family (father and two siblings; a boy and a girl) from Spain. The clinical features they had were partial aphalangia, syndactyly with duplication of metatarsal, microcephaly, short stature and low intelligence. The condition was thought to be of autosomal dominant inheritance [2]. The second case with some of these features was in a 17-year old boy [3]. There was consanguinity of parents suggesting the possibility of an autosomal recessive inheritance. The child we have described could be the third case reported in the literature. The consanguinity of parents suggests an autosomal recessive pattern of inheritance, but the possibility of autosomal dominant inheritance due to a fresh mutation cannot be excluded.

Anaphylactic shock and acute myocardial infarction following intravenous ceftazidine