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- cervical osteo-arthritis
- kingella kingae
- polymerase chain reaction
- epstein barr virus
- magnetic resonance imaging
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 …
Footnotes
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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