Article Text

Download PDFPDF
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}

Statistics from

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 …

View Full Text


  • Competing interests None.

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

  • Patient consent Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.