This case involves a male patient in Georgia who presented to the emergency department by EHS with complaints of neck pain for several days. He was evaluated by a nurse practitioner and was promptly discharged with a diagnosis of muscle strain. He was not examined by a physician and no imaging studies including an CT scan were conducted. Several days later the patient returned to the emergency room (ER) with reports of ongoing neck pain, as well as the onset of numbness in his right thigh. He underwent a series of imaging studies and test which were largely normal, except for a slightly elevated white blood cell count. He was diagnosed with an upper respiratory infection, prescribed antibiotics, and sent home. The next day, the patient again returned to the emergency room with severe weakness in his lower extremities. It was eventually discovered that the patient was suffering from a previously undiagnosed spinal abscess. The patient was rendered paraplegic despite treatment.