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JAMA Pediatrics Clinical Challenge
August 2014

An 18-Year-Old Man With Bilateral Violaceous Cervical Adenopathy

Author Affiliations
  • 1Department of Pediatrics, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine, Los Angeles
  • 2Department of Internal Medicine, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine, Los Angeles
  • 3Division of Infectious Diseases, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine, Los Angeles
JAMA Pediatr. 2014;168(8):773-774. doi:10.1001/jamapediatrics.2013.4656

An 18-year-old Hispanic man residing in Los Angeles, California, presented with bilateral masses at the base of his neck, which he had for 2 months. The left-sided mass had been spontaneously draining straw-colored fluid for 5 days. Three months prior to presentation, he had received a diagnosis of pneumonia; his condition improved after a course of azithromycin. He denied ever having a fever, weight loss, contact with any sick persons, or sexual activity; using illicit drugs; or traveling outside of southern California.

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