Unexplained Fatigue in an Otherwise Healthy Man Linked to Kikuchi-Fujimoto Disease, A Case Report

Authors

  • Vivek Pant Samyak Diagnostic; Jawalakhel, Lalitpur, Nepal https://orcid.org/0000-0002-3967-1851
  • Santosh Pradhan Samyak Diagnostic; Jawalakhel, Lalitpur, Nepal
  • Vijay Kumar Sharma Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/nmj.v4i1.38222

Keywords:

Kikuchi- Fujimoto disease; Lymphadenopathy; Unexplained fatigue; Biopsy

Abstract

Kikuchi histiocytic necrotizing lymphadenitis is a benign and self-limited illness usually characterized by cervical lymphadenopathy and fever. We present a case of a 42-year male who complained of extreme fatigue for 2 weeks. On laboratory workup, he had leucopenia and thrombocytopenia with normal peripheral blood and bone marrow examination. The radiological investigation revealed multiple enlarged lymph nodes in the left axilla and left supraclavicular region. The subsequent excisional biopsy of the axillary node clinched the diagnosis of Kikuchi- Fujimoto disease. The patient was completely recovered and laboratory parameters were normal with supportive treatment. Kikuchi- Fujimoto disease should be considered in patients with unexplained fatigue with lymphadenopathy and early biopsy prevents unnecessary investigations as well as potentially harmful treatments.

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Author Biographies

Vivek Pant, Samyak Diagnostic; Jawalakhel, Lalitpur, Nepal

Department of Clinical Biochemistry

Santosh Pradhan, Samyak Diagnostic; Jawalakhel, Lalitpur, Nepal

Department of Clinical Biochemistry

Vijay Kumar Sharma, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal

Department of Clinical Biochemistry

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Published

2021-06-30

How to Cite

Pant, V., Pradhan, S., & Sharma, V. K. (2021). Unexplained Fatigue in an Otherwise Healthy Man Linked to Kikuchi-Fujimoto Disease, A Case Report. Nepalese Medical Journal, 4(1), 454–456. https://doi.org/10.3126/nmj.v4i1.38222

Issue

Section

Case Reports