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{
    "pk": 938,
    "title": "A Case Report of B-cell Lymphoblastic Leukemia/Lymphoma Presenting as Isolated Torticollis in a 2-year-old Female",
    "subtitle": null,
    "abstract": "Introduction:\n Malignancy is a rare cause of acquired torticollis in children, and spinal cord involvement from hematolymphoid malignancies is similarly unusual. Neurologic abnormalities may not be present on initial evaluation, and delayed diagnosis and treatment is associated with increased risk of permanent paralysis.\nCase Report:\n The author describes a case of isolated torticollis in a 2-year-old evaluated multiple times in the emergency department (ED) and outpatient settings. For her first three presentations, the patient had no associated neurologic abnormalities. She was discharged with return precautions and a presumptive diagnosis of viral infection/lymphadenitis. She later developed weakness of her left arm and was diagnosed with a B-cell lymphoblastic leukemia/lymphoma causing spinal cord compression.\nConclusion:\n This case highlights the importance of continued comprehensive and meticulous physical examination in patients with repeat ED visits, as well as the value of detailed discharge instructions in mitigating diagnostic delays in these patients.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 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\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/4.0"
    },
    "keywords": [
        {
            "word": "atraumatic torticollis"
        },
        {
            "word": "malignancy"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/97j9924k",
    "frozenauthors": [
        {
            "first_name": "Marina",
            "middle_name": "",
            "last_name": "Boushra",
            "name_suffix": "",
            "institution": "East Carolina University School of Medicine, Department of Emergency Medicine, Greenville, North Carolina; Vidant Medical Center, Department of Emergency Medicine, Greenville, North Carolina; Vidant Beaufort Hospital, Department of Emergency Medicine, Washington, North Carolina",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-20T07:38:55+08:00",
    "date_accepted": "2020-10-20T07:38:55+08:00",
    "date_published": "2020-10-20T07:39:28+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/938/galley/686/download/"
        }
    ]
}