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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. 1Pediatric Emergency Department, Hôpitaux Pédiatriques CHU Lenval, Nice, France
  2. 2Pediatric Orthopedic Surgery, Hôpitaux Pédiatriques CHU Lenval, Nice, France
  3. 3Department 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; herisse.al{at}pediatrie-chulenval-nice.fr

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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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