Focal necrotizing cervical lymphadenitis without evidence of disseminated disease in an immunocompetent patient.

Previously healthy Caucasian female in her 30s initially presented for progressively enlarging right-sided cervical lymphadenopathy with associated sore throat. After she completed 2 antibiotic regimens for presumed infection with no relief, a CT Neck with contrast was obtained which demonstrated multiple pathologic lymph nodes, the largest lymph node demonstrating central necrosis. Patient underwent fine needle aspiration with Otolaryngology, as well as core needle biopsy with Interventional Radiology, both of which were nondiagnostic.