Severe Neck Pain with Fever: Is it Meningitis?

A 58-year-old male patient presented to the emergency department with complaints of severe neck pain. He admitted to drug use but denied using intravenous (IV) drugs. On exam, he had a fever of 100.7°F, positive Kernig’s sign, and normal neurologic exam. The patient was suspected to have bacterial m...

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Main Author: McCormick, Angela
Format: Online
Language:English
Published: Department of Emergency Medicine, University of California, Irvine School of Medicine 2012
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555598/
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spelling pubmed-35555982013-01-28 Severe Neck Pain with Fever: Is it Meningitis? McCormick, Angela Diagnostic Acumen A 58-year-old male patient presented to the emergency department with complaints of severe neck pain. He admitted to drug use but denied using intravenous (IV) drugs. On exam, he had a fever of 100.7°F, positive Kernig’s sign, and normal neurologic exam. The patient was suspected to have bacterial meningitis and was started on IV antibiotics. The next day the patient developed decreased hand grip. Magnetic resonance imaging of the spine the next day showed a soft-tissue mass impinging on the spinal canal. The patient was subsequently taken to the operating room where the epidural abscess was drained. Department of Emergency Medicine, University of California, Irvine School of Medicine 2012-12 /pmc/articles/PMC3555598/ /pubmed/23358587 http://dx.doi.org/10.5811/westjem.2011.9.6767 Text en Copyright © 2012 the authors. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by-nc/4.0/.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author McCormick, Angela
spellingShingle McCormick, Angela
Severe Neck Pain with Fever: Is it Meningitis?
author_facet McCormick, Angela
author_sort McCormick, Angela
title Severe Neck Pain with Fever: Is it Meningitis?
title_short Severe Neck Pain with Fever: Is it Meningitis?
title_full Severe Neck Pain with Fever: Is it Meningitis?
title_fullStr Severe Neck Pain with Fever: Is it Meningitis?
title_full_unstemmed Severe Neck Pain with Fever: Is it Meningitis?
title_sort severe neck pain with fever: is it meningitis?
description A 58-year-old male patient presented to the emergency department with complaints of severe neck pain. He admitted to drug use but denied using intravenous (IV) drugs. On exam, he had a fever of 100.7°F, positive Kernig’s sign, and normal neurologic exam. The patient was suspected to have bacterial meningitis and was started on IV antibiotics. The next day the patient developed decreased hand grip. Magnetic resonance imaging of the spine the next day showed a soft-tissue mass impinging on the spinal canal. The patient was subsequently taken to the operating room where the epidural abscess was drained.
publisher Department of Emergency Medicine, University of California, Irvine School of Medicine
publishDate 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555598/
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