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A term neonate was born by forceps extraction with meconium stained liquor. He was admitted to high dependency neonatal unit for respiratory distress (venous blood gas (VBG): pH—7.23, pCO2—6.18) and low blood sugars. He received intravenous antibiotics for 36 hours and discharged home on day 5 of life.
On day 11 of life, mother noticed a lump behind his left axilla with purplish discolouration (figure 1). More such lumps were noted in the next 4 days. Two firm purplish lumps measuring 3×3 cm on left posterior axilla and 2.5×2 cm on right posterior axilla were palpable (figure 2). Multiple palpable lumps of smaller size were noticed over his back up to the mid-thoracic region (figures 2 and 3).
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