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A 14-year-old girl was found moribund in her bed late one morning. She had suffered from tiredness, headache, nausea and intermittent vomiting during the preceding 4 days, but had been able to continue with normal activities and had received simple analgesics only. She could not sleep well during the two nights before her death and was heard coughing 2 hours before being found moribund by her mother. No signs of life were detected by paramedics, despite prolonged resuscitative attempts. She had attended a …
Contributors MN and PAJH were involved in the management of the case. MN did the literature search and wrote the initial draft along with PAJH, MW and SH. MN, PAJH, MW and SH critically reviewed the manuscript and approved the final version as submitted.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; internally peer reviewed.