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Traumatic Haemorrhagic Cervical Lymphadenopathy with Underlying Infectious Mononucleosis

George Rahmani1, Sarah Power1

  • 1Department of Radiology, Beaumont Hospital, Dublin, Ireland.

Case Reports in Radiology
|November 29, 2017
PubMed

Insights

A rare case of traumatic cervical lymphadenopathy in a teen, initially presenting as neck swelling after blunt trauma, was diagnosed as infectious mononucleosis. This highlights a unique presentation of a common viral illness following injury.

Area of Science:

  • Medicine
  • Pathology
  • Trauma Care

Background:

  • Blunt neck trauma can cause various injuries, including soft tissue swelling and lymph node abnormalities.
  • Infectious mononucleosis, typically caused by Epstein-Barr virus, often presents with lymphadenopathy, fever, and fatigue.
  • Cervical lymphadenopathy is a common finding, but traumatic hemorrhagic presentation is rare.

Observation:

  • A 16-year-old male experienced acute, painful left-sided neck swelling after blunt neck trauma.
  • CT angiography revealed a large hemorrhagic lymph node and generalized cervical lymphadenopathy.
  • The patient's symptoms were ultimately attributed to infectious mononucleosis.

Findings:

  • The study presents a rare instance of traumatic hemorrhagic cervical lymphadenopathy.
  • Infectious mononucleosis was identified as the underlying cause of the lymph node hemorrhage and swelling.
  • This case underscores the importance of considering infectious etiologies even after trauma.

Implications:

  • This case highlights a rare but possible complication of blunt neck trauma in the context of infectious mononucleosis.
  • Clinicians should consider infectious mononucleosis in the differential diagnosis of acute cervical lymphadenopathy following trauma.
  • Further investigation into the interaction between trauma and viral infections may be warranted.

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