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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Detalles Bibliográficos
Autor principal: McCormick, Angela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2012
Materias:
Diagnostic Acumen
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555598/
https://www.ncbi.nlm.nih.gov/pubmed/23358587
http://dx.doi.org/10.5811/westjem.2011.9.6767
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author McCormick, Angela
author_facet McCormick, Angela
author_sort McCormick, Angela
collection PubMed
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.
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spelling pubmed-35555982013-01-28 Severe Neck Pain with Fever: Is it Meningitis? McCormick, Angela West J Emerg Med 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/.
spellingShingle Diagnostic Acumen
McCormick, Angela
Severe Neck Pain with Fever: Is it Meningitis?
title 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_short Severe Neck Pain with Fever: Is it Meningitis?
title_sort severe neck pain with fever: is it meningitis?
topic Diagnostic Acumen
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555598/
https://www.ncbi.nlm.nih.gov/pubmed/23358587
http://dx.doi.org/10.5811/westjem.2011.9.6767
work_keys_str_mv AT mccormickangela severeneckpainwithfeverisitmeningitis

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