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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pus Filled Lump Behind The Neck?

I have a smail lump on the back of my left side of my neck. The lump is not noticable but you could feel it. It only hurts if I move my head back. If I squeeze it pus come out and it goes down in size and the pus is very smelly. If I don t squeeze it and it gushes the pus out on its own.
Fri, 11 Mar 2016
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Internal Medicine Specialist,  's  Response
Thanks for asking at Healthcare Magic I read your question and I understand your concern.
Lump containing pus behind the neck has many differentials
1.staphylococcus aureus infection
(short history, usually warm painful, tender)
2. cold abscess due to Mycobacterium tuberculosis (long history, weight loss, low grade fever)
3. abscess due to actinomyces Israeli
I would like to advise you not to be much worried.
Take simple antibiotic having stap aureus coverage like Amoxicillin Clavulunic acid 1gm two times a day for 7-10 days. If lump still does not disappear, increase in size or you were losing weight more than 2.5 percent per week, more than five percent of your baseline body weight then go for the following investigations.
Do complete blood count, ESR, chest xray, Pus histopathology and C/S.
Hope it helps best.
Don't forget to rate this answer and to close the discussion at Healthcare magic.
Take Your best care.
Regards
Dr Ejaz
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What Causes Pus Filled Lump Behind The Neck?

Thanks for asking at Healthcare Magic I read your question and I understand your concern. Lump containing pus behind the neck has many differentials 1.staphylococcus aureus infection (short history, usually warm painful, tender) 2. cold abscess due to Mycobacterium tuberculosis (long history, weight loss, low grade fever) 3. abscess due to actinomyces Israeli I would like to advise you not to be much worried. Take simple antibiotic having stap aureus coverage like Amoxicillin Clavulunic acid 1gm two times a day for 7-10 days. If lump still does not disappear, increase in size or you were losing weight more than 2.5 percent per week, more than five percent of your baseline body weight then go for the following investigations. Do complete blood count, ESR, chest xray, Pus histopathology and C/S. Hope it helps best. Don t forget to rate this answer and to close the discussion at Healthcare magic. Take Your best care. Regards Dr Ejaz