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A middle-aged man presented to a rural hospital in South Africa with a history of head trauma. He reported being attacked and stoned 2 weeks prior, and subsequently noticed drainage from a wound he sustained during the assault. On physical exam, he had a 3 cm×2 cm forehead wound with purulent drainage. Neurologic exam showed no focal deficits. Lateral and frontal skull films …
Footnotes
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Contributors HKK obtained oral consent from the patient, took the photographs, and contributed to the care of the patient. HKK and AD drafted the manuscript together.
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Competing interests HKK is supported by the Robert Wood Johnson Foundation Clinical Scholars Program at UCLA. AD is supported by the National Service Research Award fellowship at UCLA.
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Provenance and peer review Not commissioned; internally peer reviewed.