Snapshot A 45-year-old man comes into urgent care for several months of lumps on his neck. Since he has not had any fevers or pain, he had ignored the lumps and had not sought treatment. He states that he has had multiple dental procedures but no other surgeries. On physical exam, he has multiple dental caries and 2 large, nontender masses under his chin. Yellow pus drains from these masses. He is counseled on oral hygiene and given antibiotics. Introduction Classification login to view 5 more bullets Epidemiology login to view 11 more bullets Pathogenesis login to view 1 more bullet Associated conditions login to view 1 more bullet Prognosis login to view 2 more bullets Presentation Symptoms login to view 1 more bullet Physical exam login to view 7 more bullets Studies Labs login to view 5 more bullets Making the diagnosis login to view 1 more bullet Differential Nocardiosis login to view 4 more bullets Treatment Conservative login to view 3 more bullets Medical login to view 5 more bullets Operative login to view 3 more bullets Complications Fistula formation Scarring