title: Mediastinal lymphadenopathy without cervical lymphadenopathy in a case of Kikuchi-Fujimoto disease.
abstract: A 44-year-old man was referred to our hospital because of persistent high fever. Both CT and PET-CT demonstrated lymph node lesions limited to the mediastinal region without cervical lymphadenopathy. Histology of a mediastinal lymph node obtained by video-assisted thoroscopic excision confirmed the diagnosis of histiocytic necrotizing lymphadenitis. To our knowledge, this is the first report of Kikuchi-Fujimoto disease with isolated mediastinal lymphadenopathy. Although Kikuchi-Fujimoto disease is rare, we should consider this disease in patients with a high fever and no other symptoms.
authors.affiliation: Department of Internal Medicine, Respiratory & Allergy Division, Toho University Sakura Medical Center, Japan. pmdht627@yahoo.co.jp
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Yoshida
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Matsuzawa
authors.forename: Hagino
authors.initials: H
authors.lastname: Rikitake
authors.forename: Toru
authors.initials: T
authors.lastname: Wakabayashi
authors.forename: Noriaki
authors.initials: N
authors.lastname: Okada
authors.forename: Toshihisa
authors.initials: T
authors.lastname: Kuroda
authors.forename: Kengo
authors.initials: K
authors.lastname: Kawashima
authors.forename: Masaaki
authors.initials: M
authors.lastname: Tanabe
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Hiruta
authors.forename: Makoto
authors.initials: M
authors.lastname: Nagashima
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Kawashima
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae / Q000473:pathology; D020042:Histiocytic Necrotizing Lymphadenitis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008206:Lymphatic Diseases / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008477:Mediastinal Diseases / Q000150:complications / Q000175:diagnosis*