A 7-YEAR-OLD girl from central Texas had a persistent, slowly growing mass in her right cheek for 3 months. There was no history of fever, and trauma or insect bite at the site was denied. The family had a cat and the girl enjoyed fishing. At her initial presentation 2 months previously, she was treated with 10 days of cephalexin and the mass was injected with a corticosteroid. The mass initially seemed to get smaller but then grew.