关键词: biopsy fever histiocyte necrotizing lymphadenitis kikuchi’s disease leukopenia lymph node lymphadenopathy neck

来  源:   DOI:10.7759/cureus.58151   PDF(Pubmed)

Abstract:
Kikuchi\'s disease is an unusual and self-limited disease. It manifests as a painful cervical lymphadenopathy and is associated with a low-grade fever and night sweats. Recently, this disease has been reported worldwide, compared to its initial high prevalence among the Japanese population. The etiologies of Kikuchi\'s disease are still unknown, but it has been proposed to have either infectious or immunological causes. We report the atypical presentation of a young male with Kikuchi\'s disease. A 22-year-old male presented with a prolonged fever for a week, which was associated with bilateral neck swelling that was painless and gradually increased in size. In our case, histopathological examination of the left cervical lymph node revealed histiocytic necrotizing lymphadenitis in favor of Kikuchi\'s disease. This case report will highlight the atypical clinical presentation of this patient, thereby increasing awareness of the disease\'s future manifestation.
摘要:
Kikuchi病是一种不寻常的自限性疾病。它表现为疼痛的颈部淋巴结病,并伴有低烧和盗汗。最近,这种疾病在全世界都有报道,与最初在日本人口中的高患病率相比。菊池病的病因尚不清楚,但有人提出它有传染性或免疫学原因。我们报告了一名患有菊池病的年轻男性的非典型表现。一名22岁的男性持续发烧一周,与双侧颈部无痛肿胀相关,大小逐渐增大。在我们的案例中,左颈淋巴结的组织病理学检查显示组织细胞坏死性淋巴结炎有利于菊池病。此病例报告将重点介绍该患者的非典型临床表现,从而提高对疾病未来表现的认识。
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