A 43-YEAR-OLD black female nurse presented with a several day history of an increasing sore throat, odynophagia, and pain in the posterolateral aspect of the right side of her neck. She was originally from Nigeria but had moved to the United States 13 years ago. Her medical history was remarkable for type 1 diabetes mellitus and glaucoma. She had also undergone a breast biopsy 3 weeks prior to presentation, and a subsequent culture obtained from a postoperative stitch abscess yielded coagulase-negative Staphylococcus and Acinetobacter organisms. She underwent incision and drainage, and required no further therapy. She denied any history of recent tuberculosis exposure, cat exposure, or alcohol or tobacco use.
Rosbe KW, Meredith SD. Imaging Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2000;126(8):1030-1037. doi: