An Adolescent With a Retropharyngeal Swelling: To Drain or Not to Drain? Keeping a Broad Vision During the COVID-19 Pandemic

Sybren Robijn, Stan van Keulen, Godelieve Verhage-Damen, Stijn Bekkers

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

CASE PRESENTATION: An 18-year-old patient with a history of COVID-19 (1 month previously) was admitted with malaise and complaints of a stiff neck, a left-sided cervical mass, headache, and difficulty in swallowing and breathing, which had been present for 4 days. Two days after the onset of the first symptoms, a painless skin rash on the legs, arms, palms of both hands, and soles of both feet developed. Despite 2 days of treatment with antibiotics (amoxicillin/clavulanic acid, 500/125 mg three times daily orally), symptoms progressed. On presentation, the patient was alert and oriented, there were no neurologic disorders, and all symptoms related to the recent COVID-19 infection had subsided. His medical history was negative for sexually transmitted diseases, and the patient had received all vaccines except for meningococcus and COVID-19.

Original languageEnglish
Pages (from-to)e89-e92
Number of pages4
JournalChest
Volume162
Issue number2
Early online date5 Aug 2022
DOIs
Publication statusPublished - Aug 2022

Bibliographical note

Publisher Copyright:
Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.

Funding

Author contributions: S. R.: revising the manuscript for intellectual content; S. v. K.: writing of the first draft of the manuscript, revising the manuscript for intellectual content, and figure layout; G. V.-D.: initiation of the study, and revising the manuscript for intellectual content; S. B.: initiation of the study, writing of the first draft of the manuscript, revising the manuscript for intellectual content, and figure layout. Financial/nonfinancial disclosures: None declared. Other contributions: CHEST worked with the authors to ensure that the Journal policies on patient consent to report information were met. The authors thank Mark van Suchtelen, MD, Wald van der Vliet, MD, PhD, and Daniel van Hezik, MD, for their contribution in interpreting the radiography and dermal abnormalities.

Fingerprint

Dive into the research topics of 'An Adolescent With a Retropharyngeal Swelling: To Drain or Not to Drain? Keeping a Broad Vision During the COVID-19 Pandemic'. Together they form a unique fingerprint.

Cite this