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A 25-year-old man taking tenofovir/emtricitabine for HIV pre-exposure prophylaxis presented with painful left-sided neck swelling and intermittent fevers for 3 weeks (figure 1A). His sexual history included unprotected oral and anal intercourse with multiple male partners. Initial serologic testing …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.