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Updated: Feb 25, 2026

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Published on: February 25, 2022
Cervical facet joint septic arthritis: a real pain in the neck
Sahiba Sethi1, Mathew Kurian Vithayathil1
1Accident and Emergency, King's College Hospital, London, UK.
Abstract:
A 64-year-old man with a complex medical history and previous cervical arthritis with discectomy presents with a 2-day history of neck and lower back pain and shortness of breath, associated with left-sided muscle weakness. He has a fever with severe sepsis causing acute renal failure. MRI spine shows evidence of left cervical facet joint septic arthritis at C6-T1. He required 6 weeks of intravenous antibiotics and intensive support with ventilation and haemofiltration. After completion of antibiotics, he made a full recovery and regained neurological function before discharge.
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