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A 7-year-old girl developed severe neck stiffness and trismus while on treatment for a presumed throat infection. Examination findings included a fixed torticollis with restricted neck movements in all directions (figure 1); erythematous tonsils and cervical lymphadenopathy. Group A strep was cultured from her throat swab. She coincidentally had diabetes mellitus. CT neck with contrast revealed subluxation of C1/C2 (figure 2, left); and bilateral retropharyngeal, deep …
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