Neck swelling after sneezing.

A 29-year-old, non-smoker male presented with a painless neck swelling with a sudden onset after a bout of violent sneezing two days ago. He had no other remarkable medical history except for seasonal allergic rhinitis for the past three years. He was referred for evaluation after being advised an antihistaminic drug for the relief of nasal symptoms. Bilateral crepitant swelling was found in the neck on physical examination.

Unusual complication of cervical tuberculous lymphadenopathy.

Lymphadenopathy is the most common form of extrapulmonary tuberculosis; cervical region being the most frequent site. Yet, tuberculous cervical lymphadenopathy is rarely associated with Internal Jugular Vein (IJV) thrombosis. We report right IJV thrombosis with isolated cervical tuberculous lymphadenopathy in a 22-year-old woman. Anti-tuberculous treatment resulted in complete regression of lymphadenopathy but anticoagulation treatment failed to restore the caliber of thrombosed IJV to normal. Thrombosis of adjacent IJV is a potential complication of delay in diagnosis and treatment of cervical lymphnode tuberculosis.