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Soft Pillows, Hard Consequences: A Case Report Unveiling a Down Feather Neck Granuloma in a Pediatric Patient
Ferial Alloush1, Kei Shing Oh1, Hisham F Bahmad1
1Arkadi M. Rywlin Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, Florida, USA.
Insights
Down pillows can cause infections in children. A young boy developed a neck infection from a down pillow, requiring surgery after antibiotics failed. Feather fragments were found in the removed tissue.
Area of Science:
- Pediatric Medicine
- Pathology
- Dermatology
Background:
- Down pillows are popular for children due to comfort and warmth.
- Infections from foreign objects can occur, but are rare from bedding.
Abstract:
Down pillows, fitted with soft feathers, are commonly used among parents for their children due to their comfort, breathability, and warmth. In this case report, we present a 17-month-old boy who presented with a chief complaint of fever and progressive left neck swelling warranting a surgical excision after a failed course of antibiotic therapy. Histopathologic examination of the lesion demonstrated down feathers with associated granuloma with foreign-body type giant cell reaction, attributed to the use of the down pillow.
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