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Kikuchi-Fujimoto's syndrome masquerading as tuberculosis

Published online by Cambridge University Press:  29 June 2007

Samuel M. Jayaraj ,
Josephine Lloyd ,
Adam C. Frosh  and
Kalpesh S. Patel
Samuel M. Jayaraj*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, St. Mary's Hospital, London, UK.
Josephine Lloyd
Affiliation:
Department of Histopathology, St. Mary's Hospital, London, UK.
Adam C. Frosh
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, St. Mary's Hospital, London, UK.
Kalpesh S. Patel
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, St. Mary's Hospital, London, UK.
*
Address for correspondence: Samuel M. Jayaraj, Department of Otolaryngology–Head and Neck Surgery, St Mary's Hospital, Praed Street, London W2 1NY. Fax: 0171-886-1847
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Abstract

We report a case of a 27-year-old Asian man presenting with the typical features of tuberculous cervical lymphadenitis who was commenced on anti-tuberculous therapy on the strength of the clinical presentation. Histological examination of an excised cervical lymph node however, revealed the diagnosis of Kikuchi's syndrome; a histiocytic necrotizing lymphadenitis which is usually self-limiting.

Keywords

Tuberculosis, lymph nodeNeckLymphadenitis
Type
Pathology in Focus
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 1 , January 1999 , pp. 82 - 84
Copyright
Copyright © JLO (1984) Limited 1999

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References

Kikuchi, M, Yoshizumi, T., Nakamura, H. (1977) Necrotizing lymphadenitis: possible acute toxoplasmic infection. Virchows Archiv – A Pathological Anatomy and Histopathology 376: 247–253.CrossRefGoogle Scholar
Case records of the Massachusetts General Hospital (1997) New England Journal of Medicine 336: 492–499.CrossRefGoogle Scholar
Stansfield, A. G., d'Ardenne, A. J., (editors) (1992) In Lymph Node Biopsy Interpretation Churchill Livingstone, Edinburgh, pp 55–115.Google Scholar