The differential diagnosis for pediatric neck pain is broad and includes benign and life-threatening entities. The neck is a complex structure with many compartments. Rare disease processes exist that can mimic more serious conditions, such as meningitis.
We present a case of a teenager with several days of severe pain underneath her left jaw, limiting the motion of her neck. After laboratory and imaging evaluation, the patient was found to have an infected Thornwaldt cyst and was subsequently admitted for IV antibiotic treatment. Why Should an Emergency Physician Be Aware of This? Including infected congenital cysts on the differential for pediatric neck pain can help ensure appropriate use of invasive procedures, such as lumbar puncture. Missed cases of infected congenital cysts could lead to patients returning to the emergency department with persistent or worsened symptoms.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Emergency Medicine
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Thornwaldt cyst.J Craniofac Surg. 2018; 29: e560-e562https://doi.org/10.1097/SCS.0000000000004559
- Thornwaldt cysts.Am J Otolaryngol. 1992; 13: 381-385
- A case of acute clival osteomyelitis in a 7-year-old boy secondary to infection of a Thornwaldt cyst.Int J Pediatr Otorhinolaryngol. 2017; 95: 87-90
- Management of congenital anomalies of the neck.Facial Plast Surg Clin North Am. 2001; 9: 131-145
- Recent trends in the management of Thornwaldt's cyst: a case report.J Clin Diagn Res. 2014; 8: KD03-KD04
- Thornwaldt cysts.J Craniofac Surg. 2014; 25: e456-e457
Published online: March 07, 2023
Accepted: February 17, 2023
Received: December 11, 2022
Publication stageIn Press Uncorrected Proof
© 2023 Elsevier Inc. All rights reserved.