Article Text

Download PDFPDF
A 43-year-old man with neck pain and fever
  1. Chi-Wei Chen,
  2. Yen-Yi Lee,
  3. Yen-Hung Wu
  1. Emergency Department, Kaohsiung Medical University Chung Ho Memorial Hospital, Kaohsiung, Taiwan
  1. Correspondence to Dr Yen-Hung Wu, Emergency Department, Kaohsiung Medical University Chung Ho Memorial Hospital, Kaohsiung 807, Taiwan; blan32705{at}

Statistics from

Clinical introduction

A 43-year-old healthy man presented to the emergency department with an approximately 10-day history of severe neck pain, bilateral arm numbness, neck stiffness and fever. There was no history of trauma. The range of neck motion was limited. Plain radiography of the neck was performed (figure 1).

Figure 1

Plain radiography of the neck.


Which is the most likely diagnosis?

  1. Fracture of the cervical spine

  2. Cervical spine …

View Full Text


  • Handling editor -

  • Contributors All authors have contributed to the conception of the paper and the interpretation of the data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

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.