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A 5-year-old boy with multiple scalp nodules following a holiday in South America—‘shocking live surprise’
  1. Raghavan Nair Mahesh Babu1,
  2. Manu Sood2
  1. 1St Johns Hospital, Chelmsford, Essex, UK
  2. 2Broomfield Hospital, Broomfield, Chelmsford, Essex, UK
  1. Correspondence to Dr Raghavan Nair Mahesh Babu, Consultant Paediatrician, St Johns Hospital, Wood Street, Chelmsford, Essex CM2 9BG, UK; mahesh.babu{at}meht.nhs.uk

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In April 2009, a 5-year-old boy went on a holiday to Costa Rica. They visited the west coast (Guanacaste) and central highlands region (Arenal Volcano).

A week after their return to the UK, the parents noticed multiple lumps on the boy's scalp. Three nodules, about …

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