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A 10-year-old child with acute torticollis due to polymicrobial deep neck infection
  1. Alex Guri1,2 and
  2. Eric Scheier1,2
  1. 1Pediatrics, Kaplan Medical Center, Rehovot, Israel
  2. 2The School of Medicine, The Hebrew University and Hadassah Medical Centre, Jerusalem, Israel
  1. Correspondence to Dr Alex Guri; alexgur{at}clalit.org.il

Abstract

Torticollis in children can be a sign of a potentially dangerous disease; the correct diagnosis is not always obvious on history and physical examination. The use of point-of-care ultrasound (POCUS) helps to limit the differential diagnosis and direct appropriate further laboratory and radiology-performed evaluation. We present a case of a 10-year-old child whose deep neck infection (DNI) was timely diagnosed in the paediatric emergency department by early use of POCUS and drained under POCUS guidance after admission to the hospital. The culture from the fluid grew Eikenella corrodens, Streptococcus constellatus and Prevotella buccae. This case demonstrates that DNIs occur in children with acute acquired torticollis, even without fever and demonstrates the importance of early use of POCUS in cases where DNI is a potential diagnosis. Moreover, this case emphasises the importance of microbiological identification of DNIs that can be the key to successful treatment.

  • ear
  • nose and throat/otolaryngology
  • infectious diseases
  • paediatrics
  • ultrasonography

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Footnotes

  • Contributors Both authors contributed to the manuscript as follows: AG and ES both planned, wrote and then revised critically the manuscript, until the final version was finally approved by both authors; ES prepared the images and figure files, AG drafted the article.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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