Kikuchi’s Lymphadentis

 Dr Tapas Ray (Sr. Consultant General Medicine - Ruby General Hospital)



A 15-year-old girl had been admitted in Ruby General Hospital under the care of Dr. Tapas Ray (Consultant Medicine) with episodes of tonic clonic seizures (7 -8 times) the previous night. She had a history of low-grade fever for the past 3 years associated with swelling over right side of neck which gradually increased in size and weight loss. Excision biopsy of right axillary node had been done which revealed Kikuchi’sLymphadentis.

Kikuchi Fujimoto Disease (KFD), is a rare self-limiting disorder that typically affects the cervical lymph nodes. Recognition of this condition is crucial, especially because it can easily be mistaken for tuberculosis or lymphoma. Mortality is extremely rare and usually due to hepatic, respiratory, or cardiac failure. 

The girl was under medical management, but she suffered another episode of tonic clonic seizure which was followed by a cardiac arrest. Prompt action had been taken and she had been shifted to the ITU. She had been intubated during her CPR and was placed on ventilation. I.V. antibiotics were added and escalated for septic shock. She gradually improved and was weaned off ventilation and extubated. She also received packed red cell transfusions for her anaemia. Gradually, she stabilized and was discharged. Her parents were more than grateful to take their daughter home with a smiling face.

Location: Kolkata, West Bengal, India

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