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Hear no evil, see no evil: a careful history with judicious use of imaging in detecting brain abscess
  1. Catherine Long1,
  2. Nigel Curtis1,2,3,
  3. Bridget Joan Freyne1,2,3
  1. 1 Infectious Diseases Unit, The Royal Children’s Hospital Melbourne, Parkville, Victoria, Australia
  2. 2 Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
  3. 3 Infectious Diseases and Microbiology Group, Murdoch Children’s Research Institute, Parkville, Victoria, Australia
  1. Correspondence to Dr Catherine Long, Infectious Diseases Unit, The Royal Children’s Hospital, Parkville, VIC 3052, Australia; catherine.g.long{at}

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A previously healthy 10-year-old girl became acutely unwell with headache, nausea and vomiting, all exacerbated by movement. She also had an episode of altered consciousness with subsequent retrograde amnesia and was incontinent of urine. She presented to her local hospital and was found to be afebrile with no focal neurological signs. She was discharged with a diagnosis of first-episode absence seizure.

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  • 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 Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.