Fever, flank pain, and later neck pain

Presentation

A 70-year-old man presents with fever and flank pain. Laboratory work-up shows evidence of a urinary tract infection (Escherichia coli) and the patient is treated for the infection. During treatment he develops mild neck pain. Neurologic examination is normal.

Images

Plain radiograph of cervical spine

Second radiograph of cervical spine

Bone scintigraphy

Gallium scintigraphy

Sagittal and axial MRI of the cervical spine

Description of Findings

Full case report

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