An 18-year-old patient with a history of COVID-19 (1 month previously) was admitted with malaise and complaints of a stiff neck, a left-sided cervical mass, headache, and difficulty in swallowing and breathing, which had been present for 4 days. Two days after the onset of the first symptoms, a painless skin rash on the legs, arms, palms of both hands, and soles of both feet developed. Despite 2 days of treatment with antibiotics (amoxicillin/clavulanic acid, 500/125 mg three times daily orally), symptoms progressed. On presentation, the patient was alert and oriented, there were no neurologic disorders, and all symptoms related to the recent COVID-19 infection had subsided. His medical history was negative for sexually transmitted diseases, and the patient had received all vaccines except for meningococcus and COVID-19.

中文翻译：

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咽后肿胀的青少年：引流还是不引流？：在 COVID-19 大流行期间保持广阔的视野

一名 18 岁患者，有 COVID-19 病史（1 个月前），因身体不适入院，主诉颈部僵硬、左侧颈肿块、头痛、吞咽和呼吸困难。 4天。首次症状出现两天后，腿部、手臂、双手手掌和双脚底出现无痛性皮疹。尽管使用抗生素（阿莫西林/克拉维酸，500/125 mg，每日 3 次，口服）治疗 2 天，但症状仍出现进展。就诊时，患者神志清醒、定向力强，没有神经系统疾病，与近期感染 COVID-19 相关的所有症状均已消退。他的性传播疾病病史呈阴性，并且患者已接种了除脑膜炎球菌和 COVID-19 之外的所有疫苗。