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Contributors RSG cared for the patient once the diagnosis had been made and co-wrote the case study. NMM made the diagnosis and co-wrote the case study.
Competing interests None.
Patient consent Obtained.
Ethics approval Northland District Health Board.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Simon Rinaldi, Oxford, UK and Hugh Willison, Glasgow, UK.
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