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Article History

Received: 15 December 2024

Accepted: 18 April 2025

First Online: 30 April 2025

Declarations

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: This case report was conducted in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Institutional Review Board of Kerman University of Medical Sciences. Written informed consent was obtained from the patient’s father, acting as her legal guardian due to her comatose state, for the publication of this case report and any accompanying images. The consent form explicitly stated that the patient’s medical information and images would be used for educational and research purposes, including publication in medical journals, while maintaining patient anonymity. The authors have made every effort to ensure the patient’s privacy and confidentiality throughout the reporting process. The consent process for this case report was as follows: 1. Initial patient consent: Upon the patient’s admission and while she was conscious and capable of providing informed consent, we obtained written informed consent from the patient herself for the potential publication of her case details and associated images. This consent included an explanation that her medical information would be used for educational and research purposes, including possible publication in medical journals, with assurances of maintaining her anonymity. 2. Patient’s clinical deterioration: Unfortunately, the patient’s condition worsened, progressing to a comatose state and ultimately resulting in her death due to multi-organ failure. 3. Additional consent from legal guardian: Following the patient’s death and in accordance with the recommendations of our university’s ethical committee, we obtained additional written informed consent from the patient’s father, who served as her legal guardian. This step was taken to ensure comprehensive ethical coverage, particularly given the patient’s ultimate inability to reaffirm her initial consent. 4. Ethical review and approval: The entire case report, including our consent process, was reviewed and approved by the Institutional Review Board of Kerman University of Medical Sciences. This review ensured that our study was conducted in accordance with the ethical standards of both our institutional and national research committees, as well as the 1964 Helsinki declaration and its subsequent amendments.

: Each author listed assumes responsibility for the overall integrity of the work and has provided consent for the publication of this version.

: A written informed consent was obtained from the patient to publish this report in any medical journals.

: The authors declare no competing interests.