Kikuchi-Fujimoto Disease Mimicking Tuberculous Lymphadenitis
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概要
- 論文の詳細を見る
A 28-year-old woman was referred to our hospital for treatment of tuberculous lymphadenitis, after presenting with fever, left cervical lymphadenopathy, and a positive interferon-gamma release assay (QuantiFERON®-TB Gold In-Tube; QFT) result. Surprisingly, biopsy specimens of the cervical lymph nodes showed necrotic lesions with prominent nuclear debris and a proliferation of histiocytes, consistent with Kikuchi-Fujimoto disease (KFD). A diagnosis was made of KFD complicated by latent tuberculosis infection (LTBI), and all symptoms had resolved completely two months post-diagnosis. KFD may be misdiagnosed as tuberculous lymphadenitis, and antibiotics unnecessarily prescribed. Careful attention should therefore be paid when diagnosing cervical lymphadenopathy.
著者
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Hayashi Seiji
Department Of Anatomy And Neurobiology Kyoto Prefectural University Of Medicine
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Shimizu Shigeki
Department Of Chemistry Faculty Of Science University Of Kyoto
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Suzuki Katsuhiro
Department Of Agricultural Chemistry Yamagata University:(present Office)ageo Research Laboratory Ni
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Tezuka Kenji
Department Of General Thoracic Surgery Saitama Medical Center
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Kitaichi Masanori
Department of Laboratory Medicine and Pathology National Hospital Organization Kinki-Chuo Chest Medical Center
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Tachibana Kazunobu
Department of Diffuse Lung Diseases and Respiratory Failure, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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Hayashi Seiji
Department of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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Kurahara Yu
Department of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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Kitaichi Masanori
Department of Pathology, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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