PATHOLOGIC QUIZ CASE
Maj C. T. Yarington, Jr., MC, USA, and Maj Owen C. Jensen, MC, USA, Fort Carson, Colo
An 18-year-old white soldier first noted a swelling on the left side of his neck in June 1965, while on board ship returning from Korea. While in Korea, he had been treated for gonorrhea and pyodermatitis with two courses of penicillin. He had another brief course of penicillin on the ship, and was first seen by an otolaryngologist on Aug 11, 1965. At that time he had a 2×1.5 cm firm, movable node over the left carotid bifurcation. It was mildly tender, and he had mild dysphagia. Ten days of 1,600,000 units of Phenoxymethyl penicillin potassium (Penicillin V-K [Britain]) daily, by mouth, were prescribed which gave subjective relief, but over the next month the node became more firm, larger, and fixed. Chest x-ray results, CBC, heterophile antibody titer, and skin
SATALOFF J. The Resident's Page. Arch Otolaryngol. 1967;86(4):468–471. doi:10.1001/archotol.1967.00760050470023
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