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A previously healthy 13-year-old boy presented to his local Accident and Emergency department with a 1 week history of fevers, rigours and a swelling in the right, posterior, lower rib cage. He had been experiencing right sided abdominal pain for 1 month prior to his presentation and had received two courses of oral antibiotics …
Contributors RMH wrote the initial draft which was revised by SS and SB.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.