A previously well 9yearold boy presented to the outpatients’ clinic with a tender, swollen occipital scalp lesion progressing over one month’s duration; erythema, scaling, focal alopecia and occipital lymphadenopathy were… Click to show full abstract
A previously well 9yearold boy presented to the outpatients’ clinic with a tender, swollen occipital scalp lesion progressing over one month’s duration; erythema, scaling, focal alopecia and occipital lymphadenopathy were noted (Box 1, A). He was systemically well with no fever. There was no response to 2 weeks’ oral cephalexin. He was admitted for surgical drainage; scalp scrapings and surgical aspirates were sent for bacterial and fungal cultures. He was discharged the following day with 2 weeks’ oral cephalexin and topical scalp miconazole.
               
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