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- general medicine (see internal medicine)
- bone diseases
- musculoskeletal disorders
- education and training (see medical education and training)
A 44-year-old man with a 3-day history of limited range of motion of the bilateral shoulders, neck pain, dysphagia and mild fever presented to our emergency department. He had no previous significant medical history. He also denied any other neurological problems. He had normal levels of consciousness and orientation. On physical examination, the patient exhibited limited range of motion in rotation, severe nuchal rigidity without meningeal irritation, including Kernig’s sign and Brudzinski’s sign. Cervical CT …
Contributors HM contributed to write manuscript and discussion. YS, ES, YK and MK also contributed to discussion and patient care.
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 for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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