ABSTRACT
A 21-year-old woman presented to the emergency department complaining of a 6-week history of painful lumps in her neck. She had noticed two large lymph nodes in the right anterior cervical triangle, which were tender to touch and were increasing in size. For the preceding fortnight, she had experienced fevers and drenching night sweats. She felt fatigued and thought that she may have lost weight unintentionally. She denied any symptoms of cough or joint pain. She had no significant past medical history and took no regular medications. She was born in Sri Lanka and had lived there until she was 11 years of age; she continued to visit her grandparents there every year. She worked as a delivery driver and did not smoke, drink alcohol or use recreational drugs. She had no recent sexual partners.
