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A 20-year-old man presented with acute headaches to a primary care hospital. The patient was treated by a general practitioner for bilateral purulent tonsillitis with corticosteroid (1 mg/kg of prednisone) and antibiotics (3 g/day of amoxicillin/clavulanic acid) for 5 days. He reported spontaneous thunderclap bilateral headaches with a 6/10 on a visual analogue pain scale.
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