Elation turned to concern on the England bench as a swarm of staff and officials huddled around a distressed Lewin who injured his ankle during the goal celebration.
After a short delay, the long-serving physio was rolled onto a stretcher and carried down the tunnel.
England first confirmed Lewin had suffered a dislocated ankle on Twitter, but then deleted the message - the diagnosis presumably not aided by the absence of a physiotherapist.
England physio Gary Lewin carried off on stretcher after suffering dislocated ankle celebrating Sturridge equaliser. pic.twitter.com/CE1kaNEEKg
— PA Dugout (@PA_dugout) June 14, 2014
— Metro Sport (@Metro_Sport) June 14, 2014
It was later confirmed that Lewin would have to fly home due to his injury.
Lewin dislocated ankle landing on a water bottle during goal celebration. Lewin heading back to England. No2 physio Steve Kemp steps up #eng
— Henry Winter (@henrywinter) June 15, 2014
Claudio Marchisio had fired Italy ahead before England responded through Sturridge but Mario Balotelli scored a decisive header to secure Italy then win.
Costa Rica shocked Uruguay 3-1 in Group D's earlier match.
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- Gary Lewin
- Daniel Sturridge