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- W2016391362 abstract "20-year-old male patient was evaluated in the outpatient department with a growing asymptomatic painless lump that he had noticed 2 years earlier. Inspection revealed 4 cm subcutaneous soft swelling in the midline of the anterior neck, just above the manubrial part of the sternum. The overlying skin was intact. On swallowing the mass did not rise. A thyroglossal remnant was suspected, and ultrasound and magnetic resonance imaging showed an elliptical swelling of 5.9 3.6 2.4 cm that was located just caudal of the thyroid without mediastinal invasion. Both ultrasound guided cytologic and histologic analysis were inconclusive. It was therefore decided to remove the lump with the patient under general anesthesiology. However, just before the planned operation he presented in the emergency department with a short history of increased pain and a general sense of unwell-being. On inspection the neck swelling had increased in size and showed signs of infection (Fig 1). Levels of C-reactive protein (CRP) were elevated (26 mg/L). Medication was started with intravenous injections of Amoxycillin clavulanate, and prompt surgical exploration revealed an abscess on the basis of an infected epidermal inclusion cyst (EIC). Microbiological examination showed Peptococcus species, and Propionibacterium acnes. Antibiotic treatment was continued for another 2 weeks. His recovery was uneventful." @default.
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- W2016391362 date "2007-08-01" @default.
- W2016391362 modified "2023-09-27" @default.
- W2016391362 title "An Infected Midline Epidermal Inclusion Cyst" @default.
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- W2016391362 doi "https://doi.org/10.1016/j.otohns.2007.03.036" @default.
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