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Images in paediatrics
Rare cause of cervical osteoarthritis
  1. Anne-Laure Hérissé1,
  2. Anne-Lise Luci1,
  3. Federico Solla2,
  4. Myriam Guesmi3,
  5. Diane Demonchy1,
  6. Virginie Rampal2,
  7. Hervé Haas1,
  8. Antoine Tran1
  1. 1 Pediatric Emergency Department, Hôpitaux Pédiatriques CHU Lenval, Nice, France
  2. 2 Pediatric Orthopedic Surgery, Hôpitaux Pédiatriques CHU Lenval, Nice, France
  3. 3 Department of Pediatric Radiology, Hôpitaux Pédiatriques CHU Lenval, Nice, France
  1. Correspondence to Dr Anne-Laure Hérissé, Pediatric Emergency Department, Hôpitaux Pédiatriques CHU Lenval, Nice 06200, France;{at}

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A healthy 2-year-old child was referred to the paediatric emergency department for febrile torticollis with 1 cm painful cervical lymph nodes. Blood tests showed 20.8 mg/L C reactive protein and an acute Epstein-Barr virus infection. The persistence of torticollis despite a regular intake of both paracetamol and ibuprofen for 2 weeks suggested another aetiology. A CT scan associated with MRI showed an inflammatory process at the C1–C2 vertebrae (figure 1), and Kingella kingae-specific PCR was positive on biopsy. Cefamandole (150 mg/kg/day) was given intravenously for 7 days, followed by oral amoxicillin …

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  • ALH and A-LL contributed equally.

  • 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.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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