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Brian W. Herrmann, MD; Sherif Hassan, BS; Laura Gardner, MD; John F. Eisenbeis, MD
Saint Louis University School of Medicine, St Louis, Mo

Arch Otolaryngol Head Neck Surg. 2002;128:1426-1427.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A PREVIOUSLY HEALTHY 2-year-old boy presented with a 7-month history of progressive obstructive sleep apnea and bilateral cervical lymphadenopathy despite intensive antibiotic therapy. His physical examination demonstrated enlarged tonsils and adenoids and bilateral cervical lymphadenopathy. His white blood cell count was in the upper range of normal, with slight lymphocytosis. He underwent a tonsillectomy, an adenoidectomy, and an excisional lymph node biopsy from the left posterior triangle. He tolerated surgery without incident and was discharged on postoperative day 1.

He returned 3 days later and was admitted for persistent poor oral intake, pain, and refusal to voluntarily rotate his head. Physical examination revealed asymmetry of the posterior pharyngeal wall. The findings of microscopic analysis of all 3 surgical specimens are shown in Figure 1 and Figure 2. A pediatric infectious disease consultation was obtained; Bartonella . . . [Full Text of this Article]

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