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A previously healthy teen experienced worsening facial and neck swelling, breathing difficulties, and fever. This case highlights a rare presentation of superior vena cava syndrome in adolescents.

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Area of Science:

  • Pediatric Medicine
  • Cardiovascular Medicine
  • Medical Case Reports

Background:

  • A 15-year-old female presented with a two-month history of progressive facial and neck swelling.
  • Symptoms included dyspnoea, orthopnoea, headache, and throat discomfort.
  • A recent five-day fever preceded the worsening of symptoms.

Observation:

  • Physical examination revealed facial and neck swelling, plethora, and jugular venous distension.
  • The patient reported a recent 5-day episode of fever preceding the worsening of symptoms.

Findings:

  • Progressive facial and neck swelling in a previously healthy adolescent.
  • Associated respiratory distress and vascular engorgement suggest potential superior vena cava syndrome or related pathology.

Implications:

  • Early recognition and diagnosis are crucial for managing pediatric patients with acute onset of facial and neck swelling.
  • Further investigation is warranted to determine the etiology and guide appropriate treatment strategies.