
Neck Pain, Reddish Swollen Neck, Night Sweats, Cough, On Antibiotics, History Of Dysplasia

Thanks for posting the query.
The initial presentation of your son was more like a bacterial infection (pain, swelling and redness). As the symptoms abated with antibiotics it is again suggestive of infection.
But, now you have said that the symptoms have returned, though you have not mentioned anything about the neck swelling. Are the neck swellings there now also? Terrible night sweats are definitely of concern and should not be taken lightly.
I think, he needs evaluation by CT scans of neck, chest and abdomen, blood count and chemistries. Depending on these reports we can proceed further. Your son is at the able hands of physicians from MD XXXXXXX and I am sure they will find out the root cause of all these problems.
Regarding the subcutaneous swellings since birth, I think they are probably benign and unrelated to the present condition.
I hope, I have answered your query.
I will be available for follow up queries if any.
Regards.


Thanks for the follow up.
The symptoms you are reporting can be because of either infection or a hematological malignancy.
The fact that the increased white cells are looking abnormal points toward a malignancy. He should be immediately investigated with lymph node biopsy may also be necessary.
These conditions are mostly treatable at this age and I hope the physicians will soon reach the correct diagnosis and initiate appropriate treatment.
Wishing you good health.

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