Necrotizing lymphadenitis: Not always tuberculosis, its Kikuchi-Fujimoto's disease

Indian J Tuberc. 2020 Jul;67(3):383-385. doi: 10.1016/j.ijtb.2019.10.006. Epub 2019 Oct 30.

Abstract

Kikuchi-Fujimoto's disease is an uncommon self limiting, benign cause of generalised lymphadenopathy with fever. It can present as a triad of fever, night sweats and lymphadenopathy which resembles more common causes like tuberculosis and lymphoma. Being an endemic country a patient may be treated on the lines of tuberculosis often. We present case of a young female who was diagnosed as Kikuchi-Fujimoto's disease after not responding to antitubercular treatment. Pathologists and Clinicians must be aware of this condition to prevent unnecessary treatment.

Keywords: Lymphadenopathy; Necrotizing lymphadenitis; Tuberculosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy, Fine-Needle
  • Diagnosis, Differential*
  • Female
  • Histiocytic Necrotizing Lymphadenitis / diagnosis*
  • Histiocytic Necrotizing Lymphadenitis / pathology
  • Humans
  • Neck
  • Tomography, X-Ray Computed
  • Tuberculosis, Lymph Node / diagnosis*