TY - JOUR
T1 - An Adolescent With a Retropharyngeal Swelling
T2 - To Drain or Not to Drain?: Keeping a Broad Vision During the COVID-19 Pandemic
AU - Robijn, Sybren
AU - van Keulen, Stan
AU - Verhage-Damen, Godelieve
AU - Bekkers, Stijn
N1 - Funding Information:
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.
Publisher Copyright:
© 2022 The Author(s)
PY - 2022/8/1
Y1 - 2022/8/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85135552445&partnerID=8YFLogxK
U2 - 10.1016/j.chest.2022.03.001
DO - 10.1016/j.chest.2022.03.001
M3 - Article
C2 - 35940669
SN - 0012-3692
VL - 162
SP - e89-e92
JO - Chest
JF - Chest
IS - 2
ER -