[
    {
        "id": "osp-2228",
        "type": "article-journal",
        "title": "Unilateral Cervical Lymphadenopathy",
        "author": [
            {
                "family": "Al Awfi",
                "given": "Mahmood Masud"
            },
            {
                "family": "Al Badaai",
                "given": "Yahya"
            },
            {
                "family": "Al Haddabi",
                "given": "Ibrahim"
            }
        ],
        "URL": "https://omanscience.com/en/articles/unilateral-cervical-lymphadenopathy",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2020
                ]
            ]
        },
        "container-title": "Oman Medical Journal",
        "DOI": "10.5001/omj.2020.39",
        "publisher": "Oman Medical Specialty Board",
        "ISSN": "1999-768X",
        "abstract": "A 16-year-old girl presented with progressive left neck swelling of six weeks duration associated with low-grade fever and rash. Four weeks before visiting our institute, she was started on antibiotics combined with non-steroidal anti-inflammatory drugs (NSAIDs) prescribed by a doctor from a local health center. As a result, her pain resolved while the size of the swelling had an interval regression followed by rebound enlargement. Clinical examination revealed unilateral multiple non-tender enlarged left cervical lymphadenopathy involving level II to V with normal overlaying skin. The rest of her examination was unremarkable including upper aero-digestive endoscopy. These findings were demonstrated with further details with a computed tomography (CT) scan. She had mild microcytic hypochromic anemia with normal iron profile, folate, and B12. Further laboratory findings showed a white blood cell count of 4.0 × 10⁹/L, C-reactive protein (CRP) < 1 mg/L, erythrocyte sedimentation rate (ESR) 31 mm/hour, and lactate dehydrogenase (LDH) 288 U/L. An excisional biopsy of the swelling was taken for histopathological examination, which revealed areas of necrosis with histiocytic proliferation without granulomas. The histiocytes were positive for CD68 and myeloperoxidase (MPO)."
    }
]