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{ "pk": 19210, "title": "Severe Neck Pain with Fever: Is it Meningitis?", "subtitle": null, "abstract": "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. [West J Emerg Med. 2012;13(6):505–506.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Epidural abscess" }, { "word": "Cervical Spine" }, { "word": "meningitis" }, { "word": "case report" }, { "word": "Emergency Medicine" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/99388999", "frozenauthors": [ { "first_name": "Angela", "middle_name": "", "last_name": "McCormick", "name_suffix": "", "institution": "Resurrection Medical Center, Emergency Medicine Residency Program, Chicago,\nIllinois", "department": "None" } ], "date_submitted": "2011-04-11T15:06:09Z", "date_accepted": "2011-04-11T15:06:09Z", "date_published": "2012-11-14T23:53:58Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/19210/galley/9511/download/" } ] }