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Acute Calcific Tendinitis of the Longus Colli Muscle

      A 47-year-old healthy woman presented with sudden-onset, severe neck pain and stiffness associated with odynophagia, dysphagia, and low-grade fever (37.8°C). She described it as severe neck pain extending into the deep neck and radiating upward to the occiput and vertex of the head. She also complained of difficulty in opening her jaw and swallowing due to throat pain. There was no preceding history of trauma, upper respiratory tract infection, or dental infection. The laboratory data showed slight leukocytosis of 12,350 cells/μL (8,500 neutrophils/µL), as well as an increased erythrocyte sedimentation rate of 55 mm/h and C-reactive protein of 43 mg/L. On physical examination, there was a severely limited range of all neck motion, with marked nuchal rigidity. Kernig and Brudzinski signs were not clearly positive. Mouth opening was difficult, but oropharyngeal examination was normal. The patient was admitted with the differential diagnosis of meningitis, retropharyngeal abscess, or infectious spondylitis.
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