A Pediatric Patient with a Progressive Chest Wall Mass

Abstract

An 11-year-old autistic but otherwise healthy boy presented with a right chest wall mass of unknown duration. Intermittent tactile fever and cough were noted during the 4 days prior to presentation. Retrospectively, the parents noted decreased energy and an unwillingness of the boy to wear his school backpack over the past several months. He had no weight gain or loss. He had a history of periodontal disease. Nine months prior to presentation, he required general anesthesia for teeth extractions and the placement of fillings, crowns, and a spacer. His immunizations were current and he was not taking any medications. He lived in a suburban area in the Midwest with his parents, both of whom were born in China. He was born in the United States.