A rare and interesting case report of Kikuchi-Fujimoto disease masquerading as tuberculosis

Authors

  • Joel Danie Mathew Department of General Surgery, Believers Church Medical College Hospital, Thiruvalla, Kerala, India
  • Ajithakumari K. Department of Pathology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India
  • Jiby Soosen Ninan Department of Pathology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India
  • Juby Sunny Department of General Surgery, Believers Church Medical College Hospital, Thiruvalla, Kerala, India

DOI:

https://doi.org/10.18203/2349-2902.isj20204170

Keywords:

KFD, Necrotising lymphadenitis, Tuberculosis, Genetic, Cervical lymphadenopathy

Abstract

Kikuchi-Fujimoto disease (KFD), or histiocytic necrotizing lymphadenitis, is a rare benign, self-limited condition, probably genetic, that mainly affects young women which often presents with localised lymphadenopathy and fever. Reporting the case of a 17-year-old girl, with a strong family history of tuberculosis, who presented to the surgery OPD with cervical lymphadenopathy and a history of anti-tubercular treatment for the same complaints two years back. An excision biopsy revealed necrotizing histiocytic lymphadenitis suggestive of KFD. Post-operative period was uneventful and patient had spontaneous resolution of her complaints upon follow up. It is quite difficult to make a pre-operative diagnosis of this disease, until the clinician has got a very high index of suspicion especially because of the more common differential diagnoses including extrapulmonary tuberculosis.

 

Author Biography

Joel Danie Mathew, Department of General Surgery, Believers Church Medical College Hospital, Thiruvalla, Kerala, India

Assistant Professor in General Surgery, Believers Church Medical College Hospital, Thiruvalla,Kerala,India

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Published

2020-09-23

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Section

Case Reports