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An unusual cause of a pleural effusion
  1. J Graham,
  2. R Winterson,
  3. J Grovell,
  4. R L Boon
  1. Department of Paediatrics, Musgrove Park Hospital, Taunton, UK
  1. Dr R L Boon, Accident and Emergency Department, Hope Hospital, Stott Lane, Salford M6 8HD, UK; robboon69{at}hotmail.com

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A normally fit and active 15-year-old schoolboy presented with a 1-week history of productive cough, malaise, fainting, but no fever. He also reported pleuritic chest pain after repeated throwing of a ball 3 weeks previously. An initial diagnosis of pneumonia was made; chest x ray showed a likely parapneumonic effusion and antibiotic therapy was …

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