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A 39-year-old Zambian man who was visiting the United States presented with a three-week history of a draining neck mass and a three-month history of swelling on the left side of his neck. He reported a weight loss of 4.5 kg (10 lb), night sweats, and a low-grade fever. Examination revealed an ulcer measuring 1 by 2 cm on the left side of his neck (Panel A), with an underlying mass measuring 2 by 2 cm. The chest x-ray film was normal. Computed tomography revealed multiple enlarged lymph nodes on both sides of the neck with central necrosis (Panel B, . . . [Full Text of this Article] |
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