# Epidemic Myalgia Presenting as Cervical Pain: A Case Report

## TL;DR

A 53-year-old woman presented with cervical and abdominal pain, leading to a rare diagnosis of cervical variant epidemic myalgia.

## Contribution

This case report highlights the cervical variant of epidemic myalgia, a rare and under-recognized presentation.

## Key findings

- Severe tenderness was observed in cervical muscles and the umbilical region.
- The diagnosis of cervical variant epidemic myalgia was confirmed.
- Posterior neck pain worsened in specific positions, aiding in diagnosis.

## Abstract

A 53-year-old female visited our hospital because of cervical and abdominal pain preceding fever and upper respiratory symptoms. Severe tenderness was noted over the bilateral sternocleidomastoid muscles, the superior portion of the trapezius muscle, and the umbilical region of the abdomen. The patient reported exacerbation of posterior neck pain in the supine position and during the transition from sitting to the supine position. The diagnosis of epidemic myalgia was finally made. This case highlights the presence of the cervical variant of epidemic myalgia.