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A previously well 10-year-old girl presented to the hospital on three occasions over a 2-week period with worsening right-sided cheek swelling and pain. Examination was unremarkable apart from obvious swelling of the right cheek and cervical lymphadenopathy (figure 1). An initial diagnosis of suppurative parotitis was made, and she was treated with oral flucloxacillin. Over the following week, pain and swelling worsened, and she developed fever, nausea, trismus and dizziness.
Contributors The case for this manuscript was identified by DB. DB, JC and JB were involved in managing the case. The manuscript was drafted by AH. Radiographic images were selected and annotated by MD. Histology images were selected and annotated by YC. All authors were involved in editing of the manuscript, and gave final approval for publishing.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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