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Figure 1. A previously healthy three-year-old boy was brought to the emergency department with neck pain and intermittent fever of two days' duration, as well as a neck tilt and difficulty swallowing saliva. He had a temperature of 38.7°C and appeared ill, with his head tilted to the right. Both tonsils were symmetrically enlarged without a midline shift and were covered with purulent exudate. There was no stridor. The lateral neck film obtained in the emergency department (Panel A) shows an increase in the width of the prevertebral space and anterior displacement of the airway (large arrows), with a . . . [Full Text of this Article] |