Fever and Neck Pain

Test Your Knowledge: A woman with fever and neck pain

1. The presence of fever and thyroid pain and tenderness, biochemical hyperthyroidism, and high ESR together make the diagnosis of subacute thyroiditis most likely.1,2 Subacute thyroiditis is also known as de Quervain’s thyroiditis and granulomatous thyroiditis. It is believed to be caused by viral infection. In this condition, despite the marked release of thyroid hormones from the damaged thy...

Severe Neck Pain with Fever: Is it Meningitis?

A 58-year-old male patient presented to the emergency department with complaints of severe neck pain. He admitted to drug use but denied using intravenous (IV) drugs. On exam, he had a fever of 100.7°F, positive Kernig's sign, and normal neurologic exam. The patient was suspected to have bacterial meningitis and was started on IV antibiotics. The next day the patient developed decreased hand gr...

ACUPUNCTURE AND NECK PAIN About neck pain

Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Twenty-six to 71% of the adult population can recall experiencing an episode of neck pain or stiffness in their lifetime. Neck pain is usually a benign and self-limited condition, but can be disabling to varying degrees. As such, it has a large impact on healthcare expenditure, due to visits to heal...

Fever and stiff neck.

Clinical Presentation: An 11-month-old boy was seen in the emergency department by his pediatrician for evaluation of fever (body temperature, 38.5°C) and a stiff neck. The patient’s illness began 5 days earlier when he developed nasal congestion and fever. His pediatrician prescribed amoxicillin on the third day of illness. The fever persisted, however, and by the fifth day, the patient was ir...

Isolated Splenic Metastasis Presenting with Continuous Fever and Abdominal Pain