case_images: PMC7250214_01
case_images: PMC7250214_02
case_images: A 4-year-old with forehead swelling, bruises, darkish discolouration around the lower part of the eyes (Panda eyes sign) (red arrows) and burns on the right shoulder (black arrow)
case_images: PAMJ-35-47-g001.jpg
case_images: PMC7250214_02_PAMJ-35-47-g001.jpg
case_images: f0001
case_images: At presentation, he was conscious with forehead swelling measuring about 8 cm x 8 cm, soft, fluctuant, tender (Figure 1) and darkish discolouration around the lower part of the eyes (Panda eyes sign). He also had swelling over the right clavicle, hard and tender with an area of healing scald burns injury (about 6 cm x 5 cm) lateral to it (Figure 1), multiple bruises at various stages of healing and 'rope marks' over the back and extremities (Figure 2).
case_images: "Rope" sign and scars on the back (black arrows)
case_images: PAMJ-35-47-g002.jpg
case_images: PMC7250214_02_PAMJ-35-47-g002.jpg
case_images: f0002
case_images: He also had swelling over the right clavicle, hard and tender with an area of healing scald burns injury (about 6 cm x 5 cm) lateral to it (Figure 1), multiple bruises at various stages of healing and 'rope marks' over the back and extremities (Figure 2).
case_images: Chest radiography showing right clavicular fracture (black arrow)
case_images: PAMJ-35-47-g003.jpg
case_images: PMC7250214_02_PAMJ-35-47-g003.jpg
case_images: f0003
case_images: The X-ray of the shoulder showed right clavicular fracture with callus formation (Figure 3).
case_images: A computerized tomography showing frontal scalp haematoma (white arrows)
case_images: PAMJ-35-47-g004.jpg
case_images: PMC7250214_02_PAMJ-35-47-g004.jpg
case_images: f0004
case_images: The computerised tomography scan of the cranium showed frontal scalp haematoma and normal intracranial findings (Figure 4).