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A 4-month-old girl born at 30+6 weeks’ gestation was started on propranolol 1.5 mg/kg/day in three divided doses for a rapidly growing infantile haemangioma (IH) on the scalp. Two weeks later the haemangioma became painful with wet necrosis (figure 1) and an offensive serosanguinous discharge, from which Escherichia coli, Klebsiella pneumoniae and anaerobes were cultured. She was systemically well and afebrile. Propranolol was stopped and the infection …
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