You are here

Article Text

Article menu
Download PDFPDF
Image Challenge
A man with fever and posterior neck pain
  1. Yasuhiro Suyama1,
  2. Takako Shirakawa2,
  3. Kiyofumi Hagiwara1
  1. 1 Division of Rheumatology, JR Tokyo General Hospital, Tokyo, Japan
  2. 2 Department of Radiology, JR Tokyo General Hospital, Tokyo, Japan
  1. Correspondence to Dr Yasuhiro Suyama, Division of Rheumatology, JR Tokyo General Hospital, 2-1-3 Yoyogi Shibuya-Ku, Tokyo 151-8528, Japan; y-suyama{at}jreast.co.jp

https://doi.org/10.1136/emermed-2016-206384

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Clinical introduction

    A 40-year-old man presented with a 5-day history of severe posterior neck pain and fever of 38.3°C. He also had odynophagia. Physical examination revealed a normal active range of motion in neck anteflexion but limited extension and left rotation. Laboratory tests showed elevated white cell count (12 x109/L) and C reactive protein (8.70 ng/dL). Cerebrospinal fluid analysis was normal. A lateral cervical radiograph was performed (figure 1).

    Figure 1

    Lateral cervical radiograph of a man with fever and posterior neck pain.

    Question

    What is the most likely …

    View Full Text

    Footnotes

    • Contributors All authors contributed to patient management. YS drafted the initial manuscript. All author contributed to writing the manuscript. All the authors have provided written consent for publication.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.