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A 43-year-old man with neck pain and fever
  1. Chi-Wei Chen,
  2. Yen-Yi Lee,
  3. Yen-Hung Wu
  1. Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
  1. Correspondence to Dr Yen-Hung Wu, Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; blan32705{at}hotmail.com

https://doi.org/10.1136/emermed-2020-209890

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    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.

    Question

    Which is the most likely diagnosis?

    1. Fracture of the cervical spine

    2. Cervical spine …

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    Footnotes

    • 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.