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.
Kamath
M Panduranga
MP
Department of ENT, Kasturba Medical College, Mangalore, Karnataka State, India. kamathmp@yahoo.co.in
Bhojwani
Kiran
K
Naik
Ramdas
R
Kumar
Rajiv
R
Chakravarthy
Yeshwanth
Y
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