ABSTRACT

A 5-year-old girl presents to the emergency department with a 3-week history of left-sided neck and facial swelling. The area is slightly warm and minimally tender; however, the swelling is now limiting her neck range of motion. She does not have any pets but frequently visits her cousins, who just bought a kitten. On exam she's non-toxic-appearing, not drooling, and has no meningismus but has pain with rotation of her neck. https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9780429435003/2bb12154-e53e-46cc-a47b-000836900a25/content/ufig17_1.jpg"/> https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9780429435003/2bb12154-e53e-46cc-a47b-000836900a25/content/ufig17_2.jpg"/>

What additional infection-related questions should the clinician ask when investigating neck swelling?

What are the two most common infectious causes of subacute unilateral cervical lymphadenitis?