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February 1997


Arch Otolaryngol Head Neck Surg. 1997;123(2):230-233. doi:10.1001/archotol.1997.01900020120019

Pathologic Quiz Case 1  John W. Topping III, MD; John L. Kennedy, MD; Bruce I. Sharon, MD; Mahmood F. Mafee, MD; David P. Tojo, MD; Chicago, IllA 6-year-old black boy presented with a 3-day history of a sore throat and progressive swelling in the left side of his neck. He had been treated with amoxicillin for 2 days, without relief. There were no fevers, chills, or weight loss. Physical examination revealed an afebrile boy with a muffled voice in no distress. A nonfluctuant 3.5-cm mass was palpable in the left side of the neck, and a moderate fullness was evident in the left side of the soft palate on intraoral examination. Laboratory evaluation revealed a white blood cell count of 10.4X 109/L. An incision and drainage of a presumed peritonsillar abscess was performed, but no purulence was found and the presumptive diagnosis of a peritonsillar phlegmon was made. The patient was sent home the next day on a regimen of oral antibiotics.He failed to show up at the initial follow-up visit but returned

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