case_images: PMC10333994_01
case_images: Extended-neck stance seen on presentation
case_images: 10.1177_20551169231178448-fig1.jpg
case_images: PMC10333994_01_10.1177_20551169231178448-fig1.jpg
case_images: fig1-20551169231178448
case_images: Clinical examination at the referral centre revealed increased inspiratory effort with upper respiratory tract stertor and an extended-neck stance (Figure 1).
case_images: Retroflexed nasopharyngoscopy. Appearance of the nasopharyngeal mass
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case_images: PMC10333994_01_10.1177_20551169231178448-fig2.jpg
case_images: fig2-20551169231178448
case_images: Nasopharyngoscopy revealed a large, right-sided rostral nasopharyngeal mass that was causing obstruction of the ipsilateral choana (Figure 2).
case_images: Cytological appearance of purulent material, Diff-Quick stain
case_images: 10.1177_20551169231178448-fig3.jpg
case_images: PMC10333994_01_10.1177_20551169231178448-fig3.jpg
case_images: fig3-20551169231178448
case_images: Cytology of the purulent material showed large numbers of degenerate neutrophils, with a mixed bacterial population consisting of pleomorphic rods and some cocci (Figure 3).