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Robert Dean, MD, PhD; Karen Pitman, MD; Jen-Yih Chu, MD, PhD
St Louis University Hospital, St Louis, Mo

Arch Otolaryngol Head Neck Surg. 2004;130:796.

	Since this article does not have an abstract, we have provided the first 108 words of the full text and any section headings.

A 14-year-old African American girl presented with a 2-month history of bilateral neck swelling, on the left more than on the right. She complained of mild tenderness, decreased range of motion in her neck, and nasal congestion. She had no fever, nausea, vomiting, dysphagia, or respiratory distress. There were nocranial nerve deficits. She was initially treated with oral antibiotics, with no improvement in her symptoms. Her medical history was otherwise unremarkable. An axial computed tomographic scan demonstrated bilateral lymphadenopathy with areas of central hypodensity consistent with necrosis (Figure 1).

Figure appears in full text version. Figure 1.

What is your diagnosis?

SECTION EDITORS: R. NICK BRYAN, MD; PATRICIA A. HUDGINS, MD

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