Clinical introduction

A 61-year-old man presented with swelling of the neck. He had experienced coughing, fever and sore throat for the previous few days and had been started on antibiotic treatment by his general practitioner. He presented to the emergency department because the symptoms failed to subside and he developed swelling of his neck. On examination, he was afebrile, and a hard, 9×4 cm in size, mobile mass with no redness was observed on the right side of his neck (figure 1 …