Title of article
Acute Tonsillitis With Concurrent Kikuchi’s Disease as a Cause of Persistent Lymphadenopathy
Author/Authors
Sawali, Halimuddin Universiti Kebangsaan Malaysia - Department of Otorhinolaryngology - Head Neck Surgery, Malaysia , Sabir Husin Athar, Primuharsa Putra KPJ Seremban Specialist Hospital - Ear, Nose and Throat-Head and Neck Consultant Clinic, Malaysia , Ami, Mazita Universiti Kebangsaan Malaysia - Department of Otorhinolaryngology - Head Neck Surgery, Malaysia , Shamsudin, Nor Hasni Tuanku Jaafar Hospital - Department of Pathology, Malaysia , Nair, Gopalan Lam Wah Ee Hospital - Ear, Nose,Throat-Head and Neck Consultant Clinic, Malaysia
Pages
4
From page
73
To page
76
Abstract
We present a young adult female with symptoms of acute tonsillitis and tender cervical lymphadenopathy. Despite a full course of oral antibiotics, she had persistent left lower cervicallymphadenopathy measuring 2.0 x 1.5 cm at 2 weeks post-treatment. Rigid and flexible scope examinations did not reveal any abnormalities in the nasopharynx, oropharynx or hypopharynx. Tuberculosis tests were negative and blood index results were normal. Fine needle aspiration cytologyrevealed a non-specific granulomatous inflammatory process. Excisional lymph node biopsy was performed, and the patient was diagnosed as having Kikuchi’s Disease (KD). We would like to highlight the diagnostic challenges in detecting this condition and the importance of differentiating KD from tuberculosis and malignant lymphoma, the latter of which requires aggressive treatment.
Keywords
histiocytic necrotizing lymphadenitis , Kikuchi disease , Kikuchi , Fujimoto disease , medical sciences
Journal title
The Malaysian Journal Of Medical Sciences (MJMS)
Serial Year
2009
Journal title
The Malaysian Journal Of Medical Sciences (MJMS)
Record number
2626138
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