case_images: PMC7678743_01
case_images: PMC7678743_02
case_images: Palatine tonsillar enlargement and a retropharyngeal fluid density extending from the palatine tonsil down to C7/T1.
case_images: CRIPE2020-6668371.001.jpg
case_images: PMC7678743_02_CRIPE2020-6668371.001.jpg
case_images: fig1
case_images: His initial workup was significant for the following: white blood cell count 13,300/mcL, hemoglobin 14.9 g/dL, platelet count 202,000/mcL, absolute neutrophil count 10,860/mcL, absolute lymphocyte count 1,006/mcL, sodium 136 mEq/L, C-reactive protein (CRP) 117.2 mg/L, throat culture negative for Group A Streptococci, negative COVID-19 PCR, and neck CT scan with palatine tonsillar enlargement and a retropharyngeal fluid density extending down to C7/T1 (Figure 1).
case_images: Decrease in the previously noted retropharyngeal phlegmon.
case_images: CRIPE2020-6668371.002.jpg
case_images: PMC7678743_02_CRIPE2020-6668371.002.jpg
case_images: fig2
case_images: CRP 54.6 mL/L, ESR 19 mm/HR, negative COVID-19 PCR, troponin I 1.27 ng/mL, b-type natriuretic peptide (BNP) 204 pg/mL, and creatinine 0.62 mg/dL. CT angiogram of his chest did not reveal pulmonary emboli, and a repeat neck CT scan showed a decrease in the size of his retropharyngeal fluid density (Figure 2).
case_images: PMC7678743_03