Question: A 31 year old female is referred to you for a neck mass. She reports having intermittent infections treated with antibiotics and progressive enlargement of the mass over several years. Examination reveals a mass centered over the hyoid bone that moves with swallowing. You perform a Sistrunk procedure. Seven days later, she calls to inquire about ongoing clear drainage from the lateral aspect of her incision line. What most likely occurred? [Answer will be posted with next week's new question]

Answer to last week's question, "Sound Bites" (February 20, 2017)

Lyme disease.