Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Mediastinal Lymphadenopathy without Cervical Lymphadenopathy in a Case of Kikuchi- Fujimoto Disease
Yasushi YoshidaYasuo MatsuzawaHagino RikitakeToru WakabayashiNoriaki OkadaToshihisa KurodaKengo KawashimaMasaaki TanabeNobuyuki HirutaMakoto NagashimaTatsuo Kawashima
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JOURNALS OPEN ACCESS

2011 Volume 50 Issue 6 Pages 649-652

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Abstract

A 44-year-old man was referred to our hospital because of persistent high fever. Both CT and PET-CT demonstrated lymph node lesions limited to the mediastinal region without cervical lymphadenopathy. Histology of a mediastinal lymph node obtained by video-assisted thoroscopic excision confirmed the diagnosis of histiocytic necrotizing lymphadenitis. To our knowledge, this is the first report of Kikuchi-Fujimoto disease with isolated mediastinal lymphadenopathy. Although Kikuchi-Fujimoto disease is rare, we should consider this disease in patients with a high fever and no other symptoms.

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© 2011 by The Japanese Society of Internal Medicine
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