Kikuchi-Fujimoto Disease in a Filipino Boy: A Case Report

  • Jenina Rachel D. J. Escalderon Department of Otorhinolaryngology Head and Neck Surgery University of Santo Tomas Hospital
  • Angelo A. Monroy Department of Otorhinolaryngology Head and Neck Surgery University of Santo Tomas Hospital https://orcid.org/0000-0003-4712-2550
Keywords: lympadenitis, Kikuchi-Fujimoto disease, lymphoma, cervical lymph nodes

Abstract

Objective: To report a case of a 12-year-old boy with Necrotizing Lymphadenitis (Kikuchi-Fujimoto disease) presenting as lymphadenitis secondary to multiple diagnosis.

 

Methods:

Design : Case Report

Setting: Tertiary Private Hospital

Patient: One

 

Results: A 12-year-old boy consulted for two-month history of cervical lymphadenopathy with the underlying cause remaining unclear despite multiple consults, diagnosis and medical treatment. Lymphoma was considered and excision biopsy with further investigations confirmed a diagnosis of Kikuchi-Fujimoto disease. Supportive management was given with no recurrence of symptoms noted on 18 months of follow up. 

 

Conclusion:  Kikuchi-Fujimoto disease in this case was a diagnosis of exclusion. Even with a proper history and physical examination, experts in otolaryngology can be misled to manage this case as malignant. Awareness of the disease and appropriate examinations including immunohistochemistry are important for a timely diagnosis and proper intervention.

 

Keywords: lympadenitis; Kikuchi-Fujimoto disease; lymphoma; cervical lymph nodes

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Published
2019-12-02
How to Cite
1.
Escalderon JR, Monroy A. Kikuchi-Fujimoto Disease in a Filipino Boy: A Case Report. Philipp J Otolaryngol Head Neck Surg [Internet]. 2019Dec.2 [cited 2019Dec.10];34(2):35-8. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/503