![]() ![]() There was no lesion recurrence at the 2-month follow-up visit, and the patient made her normal daily living well. These examinations revealed reactive hyperplasia with no abnormal cells (Figs. Excisional biopsy was subjected to histopathological examination and immunohistochemistry study. Fine needle aspiration cytology revealed a suspicion of abnormal cells. Laboratory tests revealed all are normal apart from high IgM against SARS-CoV-2 and lymphocytosis. No abnormalities were found on abdominal and axillary sonographic examination. The possible differential diagnosis could be infectious mononucleosis, toxoplasmosis, cytomegalovirus infection, and less likely tuberculosis or lymphoma. These nodes showed abnormal fatty hilum, abnormal round index, and exaggerated hypo-echoic texture, as shown in Fig. Ultrasound examination revealed multiple cervical lymph nodes in the right supraclavicular area, the largest of 18 × 10 mm in diameter. The patient took a 5-day antibiotic course but without benefit. There were no focal infective areas, masses, or other lymph node enlargement in the body. Physical examination revealed a non-tender neck mass in the right supraclavicular region, oval in shape, 2 × 1.5 cm, freely mobile, with no scar, and no skin changes over the swelling or surrounding areas. One week later, a right supraclavicular lump appeared it was painless and gradually increased in size (Fig. The patient became well, and all presenting symptoms disappeared entirely during the 10-day follow-up. Supportive treatment in the form of antipyretic and tonic as well as antibiotics (azithromycin) was given as per the protocol of COVID-19 treatment approved by the Iraqi Ministry of Health. Chest X-ray revealed a right-sided upper zone pneumonic patch. The test was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). She consulted a doctor and gave her advice on bed rest and home quarantine from her family members after sending her for a real-time polymerase chain reaction (PCR) test of the nasopharyngeal swab. She complained of fever (38.5 ☌), dry cough, fatigue, and loss of smell and taste. The patient had a history of contact with her infected grandmother with COVID-19. We reported the first case of supraclavicular lymph node enlargement in a 12-year-old girl following COVID-19.Ī 12-year-old female presented with a neck mass in the right supraclavicular area of 1-month duration. However, there is no reported case of supraclavicular cervical lymphadenopathy due to COVID-19. reported three COVID-19 patients with cervical lymphadenopathy in level 2 (upper jugular group). Moreover, cervical lymphadenopathy following COVID-19 vaccines was reported. Many viruses, particularly in the pediatric population, may cause cervical lymphadenopathies like adenovirus, Epstein-Barr virus, herpes virus, coxsackievirus, and cytomegalovirus. There are various causes of neck masses these are broadly divided into three groups congenital or developmental, inflammatory (infectious or noninfectious), and tumors. The neck is the joining part between the head and body. There are various otorhinolaryngological manifestations as a result of the COVID-19 pandemic, including, but not limited to, smell and taste abnormalities, dysphonia, hearing loss, sore throat, nasal obstruction, and parotitis. It is essential to put COVID-19 in the differential diagnosis of cervical lymphadenopathy. To our best knowledge, this is the first case of supraclavicular lymphadenopathy in a child with COVID-19. The specimen was sent for histopathology and immunohistochemistry evaluation which confirmed the benign nature of the lymph node. Therefore, an excisional biopsy of the largest node was performed. Ultrasound and fine-needle aspiration cytology were suspicious. Physical examination revealed painless, multiple, and mobile supraclavicular lymph nodes. Seven days later, she complained of supraclavicular swelling. The symptoms were resolved within 10 days. Case presentationĪ 12-year-old girl presented with fever, cough, fatigue, anosmia, and ageusia. However, there is no yet reporting a case of supraclavicular cervical lymphadenopathy due to COVID-19. Many cases of cervical lymphadenopathy after the COVID-19 vaccine were reported. Cervical lymphadenopathy in children is a common problem in daily clinical practice. ![]()
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