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Images in paediatrics
Ischaemic stroke; not just a disease of adulthood
  1. Steven Foster1,
  2. Ulf Theilen2,
  3. Simon McGurk3
  1. 1Paediatric Medicine Department, Royal Hospital for Sick Children, Edinburgh, UK
  2. 2Paediatric Intensive Care Department, Royal Hospital for Sick Children, Edinburgh, UK
  3. 3Radiology Department, Royal Hospital for Sick Children, Edinburgh, UK
  1. Correspondence to Dr Steven Foster, Royal Hospital for Sick Children, 9 Sciennes Road, Edinburgh EH9 1LF, UK; steven.foster{at}luht.scot.nhs.uk

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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 …

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  • Competing interests None.

  • Patient consent Obtained.

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