An 8-year-old girl presents to the emergency department (ED) of a large, tertiary care children’s hospital in central Wisconsin during the late summer. Three weeks earlier she was playing at a lake near her home in southeastern Wisconsin and sustained a bug bite to her left lateral neck. She presented to a local clinic, where she was diagnosed as having a local reaction to a bee sting and was treated with hot and cold compresses, diphenhydramine, and cetirizine. During the next 10 days the area continued to swell, and a rash began to form around the site, as well as some bloody discharge. She returned to the local clinic, where she was started on cephalexin for presumed abscess, and a culture of the bloody discharge was obtained. She took only a few doses of the antibiotic due to stomach upset. Three days later, when the skin changes persisted and swelling...
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Visual Diagnosis| May 01 2022
Expanding Neck Mass in an 8-year-old Girl
Julia Gray, MS;
Megan Berry, DO;
Pediatr Rev (2022) 43 (5): e12–e14.
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Julia Gray, Megan Berry, Irene Hurst; Expanding Neck Mass in an 8-year-old Girl. Pediatr Rev May 2022; 43 (5): e12–e14. https://doi.org/10.1542/pir.2020-003970
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