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A previously well 2-year-old boy was admitted to a district general hospital with a 7-day history of fever, lethargy, cough and vomiting. Provisional diagnosis of chest infection was made with Escherichia coli isolated from blood cultures. Two days later, despite appropriate antibiotics, he deteriorated, developing right …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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