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Non-tuberculous mycobacterial cervical lymphadenitis (NTMCL) is a rare condition that affects children typically between the ages of 2 and 5 years old, causing unilateral painless cervical lymph node swelling predominantly in the parotid and submandibular area. Late signs of the disease include fluctuation, skin thinning, and finally discharge, leaving a visible scar. 1–3 Infection routes include pharyngeal mucosa, conjunctiva and salivary glands. Historically, radical surgical excision was the mainstay of treatment.4 However, recent studies conclude that less invasive treatment along with watchful observation may prove to be advantageous in numerous cases.