Acute Unilateral Neck Swelling

An example of what lymphatic leakage may look like from a body cavity.

An example of what lymphatic leakage may look like from a body cavity.

Today's noon report revealed an unusual case of acute unilateral neck swelling, with the ultimate curious diagnosis of lymphatic leakage.  Here is a published case report of a similar case.

Lymphatic Leakage:
     -Occurs after disruption of the lymphatic system (like a strong cough in our case, or removing laundry from a dryer in the case report referenced above)
     -High-output leakage has a 50% mortality when intervention is not timely
     -Conservative management includes a low fat, high protein, medium chain triglyceride diet

Another key learning point discussed includes the complications of odontogenic infections, which includes:
    -Lemierre's syndrome
    -Cerebral abscess
    -Orbital abscess
    -Empyema
    -Cavernous sinus thrombosis
    -Mediastinitis
    -Osteomyelitis
    -Necrotizing fasciitis