Neck Stiffness In A Collegiate Swimmer: Uncovering A Hidden Threat In The Training Room

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2026 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2026 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Communications
  - Collaborate.AMSSM.org
  - New Branding Campaign
  - AMSSM Member Marketing Toolkit
  - Journal Access
  - Publications/Position Statements
  - Press Releases
  - Brochures
  - Weekly Digests
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Neck Stiffness In A Collegiate Swimmer: Uncovering A Hidden Threat In The Training Room - Page #3

Lab Studies: Labs were offered in training room, but declined by the patient. Initial emergency department labs included a complete blood count, complete metabolic panel, creatine kinase, haptoglobin, lactate dehydrogenase, direct antiglobulin test, urinalysis, and urine hCG pregnancy test. The notable results from these labs were a white blood cell count of 12.2, a hemoglobin of 8.0 (down from 13.4), creatine kinase of 44, lactate dehydrogenase of 212, haptoglobin 371, negative direct antiglobulin test, negative urine pregnancy test, and a urinalysis showing 1+ blood and 1+ bilirubin. Subsequent emergency department visits showed uptrending white blood cell counts, stable hemoglobin, elevated ESR and CRP at 108 and 373.1, respectively, mildly elevated lactate at 2.4, and blood cultures that grew Staphylococcus intermedius. Wound cultures from the abscess debridement grew methicillin-sensitive Staphylococcus epidermidis, Parvimonas, Candida albicans, Bacillus species. Other Studies: CT Soft Tissue Neck with IV Contrast revealed multi-locular fluid collections within the prevertebral space and along the right cervical lymph node chain with involvement of the right lobe of the thyroid and thyroid isthmus, an occlusive thrombus within the right internal jugular vein and nonocclusive thrombus on the left, and patchy airspace opacities at the lung apices. Case Photo #1 CT Chest with IV Contrast demonstrated air fluid levels, concerning for pulmonary abscesses secondary to septic emboli to the lungs. Case Photo #2 MRI Brain and Spine showed no acute intracranial lesion and no obvious abnormal intracranial enhancement. It did, however, reveal a posterior paraspinal epidural collection from T1-T3 and extensive paraspinal soft tissue edema with multiple enhancing fluid collections within the neck. Consultations: Consultations during her clinical course included Otolaryngology, Neurosurgery, Critical Care, Infectious Disease, Pulmonary, Interventional Radiology, Hematology, and Vascular Surgery. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC