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A 43-year-old man without medical history presented to ED with a 10-day history of neck pain. At triage, his body temperature was 39.6oC and blood pressure was 95/55 mm Hg. On physical examination, there was posterior neck swelling and stiffness without neurological deficit. Blood tests revealed white cell count of 35 930/mm3 and C reactive protein of 29.6 mg/dL. Neck plain radiography was performed (figure 1).
What is the most likely diagnosis?
Cervical spine fracture
Answer: D. Necrotising fasciitis (NF)
The plain film showed multiple heterogeneous radiolucent lesions (figure 2, arrow) along the posterior …
Contributors C-IL reviewed the case and wrote the manuscript. Y-PH contributed to manuscript review. C-LK contributed to the case and manuscript revision.
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.
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