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Clinical Problem Solving: Pathology
February 2003

Pathology Quiz Case 1

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 2003;129(2):253. doi:10.1001/archotol.129.2.253

A 3-MONTH-OLD boy presented to our emergency department with a 1-month history of a left-sided neck mass. He was initially diagnosed as having bacterial lymphadenitis at an outside emergency department, and amoxicillin was prescribed. On the day of admission, he was brought to our emergency department because the neck mass had worsened and had spread to the back of his neck. He was febrile but was in no distress. His birth, medical, and family histories were unremarkable. His vital signs were as follows: temperature, 38.8°C; heart rate, 140 beats/min; respiration rate, 22 breaths/min; and blood pressure, 100/55 mm Hg.

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