Kikuchi-Fujimoto Disease Mimicking Tuberculosis

• 作者: Imen Gorsane Madiha Mahfoudhi Sami Turki Taieb Ben Abdallah
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: Kikuchi-Fujimoto DISEASE MYCOBACTERIUM TUBERCULOSIS LYMPHADENITIS HISTOLOGY
• 年，卷（期）: 2015,（10）
• 页码范围: 725-728
• 页数: 4页
• 分类号: R5

摘要

A 32-year-old woman presented with a fever and cervical lymphadenopathies. The research for Mycobacterium tuberculosis was negative. Tuberculin skin test was positive. Laboratory investigations showed an elevated erythrocyte sedimentation rate and a normal white blood cell count. Bacteriological and viral investigations were negative. Quantiferon-Tb Gold test was indeterminate. Thraco-abdominal and pelvic computed tomography, FDG-PET and gallium scintigraphy revealed no abnormalities. Histological study of cervical lymph node biopsy found signs in favor of histiocytic necrotizing lymphadenitis. There were no epithelioid cell granulomas. A test tuberculosis treatment was refused by the patient. The evolution was marked by spontaneous clinical and biological resolution in fifty days. The negative Lowenstein-Jensen culture eliminated formally the tuberculosis. KFD was thus the most likely diagnosis.