Kikuchi-Fujimoto Disease presenting with fever, lymphadenopathy and dysphagia.
Kikuchi Fujimoto Disease (KFD) can present with dysphasia, fever and lymphadenopathy. A young Bangladeshi girl presented with fever, cervical lymphadenopathy, dysphasia, weight loss and skin rash. Antitubercular drugs were given on clinical judgement, with no improvement after one month. Later, fine needle aspiration and histopathology of Lymph Node suggested KFD. Computerized Tomography (CT) scan of neck revealed enlarged retropharyngeal lymphnode (LN) causing pharyngeal narrowing. Oral Prednisolone was given showing improvement and no relapse was encountered. KFD may present with dysphasia uncommonly along with fever and lymphadenopathy. Awareness of this disorder by clinicians and pathologists will help prevent misdiagnosis and inappropriate treatment.
Mosharraf-Hossain
A K M
AK
Department of Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Datta
Pran Gopal
PG
Amin
A S Ahmed
AS
Uddin
M Jalal
MJ
D000328:Adult; D001459:Bangladesh; D001706:Biopsy; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005334:Fever / Q000175:diagnosis* / Q000188:drug therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D020042:Histiocytic Necrotizing Lymphadenitis / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008206:Lymphatic Diseases / Q000175:diagnosis* / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use
D005938:Glucocorticoids; D011239:Prednisolone