Tuberculosis mimicking Kikuchi's disease.
Kikuchi's disease is an idiopathic self-limiting necrotizing lymphadenitis. Clinically, it mimics tuberculous cervical lymphadenopathy. The disease is diagnosed by histopathologic study. The only specific treatment that has been reported is empiric steroid therapy. We report a case of tuberculosis that was originally thought to be Kikuchi's disease in a 24-year-old man. When the patient's condition worsened during a course of steroid therapy, he underwent surgical exploration, which revealed the presence of tuberculous lymphadenitis. The patient was switched to antituberculosis drug therapy, and his improvement was dramatic.
Department of ENT, Kasturba Medical College, Mangalore, Karnataka State, India. kamathmp@yahoo.co.in
M Panduranga
MP
Kamath
Kiran
K
Bhojwani
Ramdas
R
Naik
Rajiv
R
Kumar
Yeshwanth
Y
Chakravarthy
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D020042:Histiocytic Necrotizing Lymphadenitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology