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Quiz Case 2
Arch Otolaryngol Head Neck Surg. 2000;126:677-682.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 14-YEAR-OLD African American boy presented with right-sided facial swelling, mild trismus, and a low-grade fever of 6 days' duration. He had a pet kitten, although he did not recall having been scratched. His medical history was unremarkable. On examination, there was a firm, 3-cm, tender mass with indistinct margins overlying the angle of the mandible on the right side. The findings of the rest of the head and neck and systemic examinations were unremarkable. A computed tomographic scan with contrast (Figure 1) showed posterior cervical adenopathy and a hypodense mass involving the masseter muscle. A magnetic resonance imaging scan was also obtained (Figure 2). A complete blood cell count and a biochemical profile were normal, and the results of a purified protein derivative skin test were negative. A fine-needle aspirate of the mass showed granulomas with peripheral palisading of epithelioid histiocytes and central microabscesses (. . . [Full Text of this Article]
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