Patient with Swollen Neck

[摘要] A 25-year-old female with a history of sickle cell disease (on prophylactic penicillin VK) and venous thromboembolic disease (on oral anticoagulation with apixaban) presented to the emergency department with one week of right-sided neck pain and subjective fevers, and a one day history of trismus. Physical examination revealed warmth, swelling and tenderness to the right lateral neck near the angle of the mandible, with associated mild trismus (Image 1). Additional history revealed the presence of bilateral, subclavian, implanted venous access ports. We ordered a computed tomography (CT) of the neck with intravenous (IV) contrast (Image 2).

[学科分类] 医学（综合）