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A 12-year-old boy with sickle cell disease presented to the hospital with a headache and generalised body aches. His regular medications included hydroxycarbamide and penicillin V. He was diagnosed with a painful sickle cell crisis which was treated conservatively with analgesia and intravenous fluids.
On day 2 of admission, he was noted to have a tender 4 cm by 4 cm boggy swelling on his head, with no history of recent trauma. He remained haemodynamically stable with a heart rate of 100 …
Contributors JA compiled and wrote the article, as well as obtained consent from the patient and his mother for publication; was the patient’s named consultant at the time of admission and proofread the article; and identified and formatted images from the patient’s CT scan.
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.
Provenance and peer review Not commissioned; externally peer reviewed.