Kikuchi-Fujimoto disease presenting in a patient with SARS-CoV-2: a case report
Abstract Background We present a yet to be described association of SARS-CoV-2 infection with Kikuchi-Fujimoto disease. Case presentation A 32-year-old physician with history of SARS-CoV-2 infection presented to the emergency department with 2 weeks of fever, chills, and right sided cervical lymphad...
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doaj-45a7f7dc8efb410c98881ce919ac83a62021-08-08T11:44:56ZengBMCBMC Infectious Diseases1471-23342021-08-012111410.1186/s12879-021-06048-0Kikuchi-Fujimoto disease presenting in a patient with SARS-CoV-2: a case reportSamuel D. Racette0Borislav A. Alexiev1Michael P. Angarone2Ajay Bhasin3Kaitlin Lima4Lawrence J. Jennings5Senthil Balasubramanian6Akihiro J. Matsuoka7Department of Otolaryngology-Head and Neck Surgery, Feinberg School of Medicine, Northwestern UniversityDepartment of Pathology, Feinberg School of Medicine, Northwestern UniversityDepartment of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern UniversityDepartment of Medicine, Division of Hospital Medicine, Feinberg School of Medicine, Northwestern UniversityDepartment of Medicine, Division of Rheumatology, Feinberg School of Medicine, Northwestern UniversityDepartment of Pathology, Feinberg School of Medicine, Northwestern UniversityNorthShore University Health SystemDepartment of Otolaryngology-Head and Neck Surgery, Feinberg School of Medicine, Northwestern UniversityAbstract Background We present a yet to be described association of SARS-CoV-2 infection with Kikuchi-Fujimoto disease. Case presentation A 32-year-old physician with history of SARS-CoV-2 infection presented to the emergency department with 2 weeks of fever, chills, and right sided cervical lymphadenopathy. He was treated empirically for presumed folliculitis with worsening of symptoms leading to repeat presentation to the emergency department. Extensive workup was unrevealing of an infectious cause and needle biopsy of the lesion was unrevealing. An excisional lymph node biopsy revealed follicular hyperplasia with necrotic foci showing abundance of histiocytes at the edge of necrosis with CD8 predominance of T-cells. Final diagnosis was deemed to be Kikuchi-Fujimoto disease. Antibiotic therapy was discontinued, and the patient’s symptoms resolved with steroid therapy and expectant management. Conclusions This is the first report of a patient developing Kikuchi-Fujimoto disease following SARS-CoV-2 infection. Clinicians should be aware of Kikuchi-Fujimoto disease as a possibility when approaching patients with hyper-inflammatory states who present with cervical lymphadenopathy.https://doi.org/10.1186/s12879-021-06048-0COVID-19SARS-CoV-2Kikuchi-Fujimoto SyndromeCervical lymphadenopathy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Samuel D. Racette Borislav A. Alexiev Michael P. Angarone Ajay Bhasin Kaitlin Lima Lawrence J. Jennings Senthil Balasubramanian Akihiro J. Matsuoka |
spellingShingle |
Samuel D. Racette Borislav A. Alexiev Michael P. Angarone Ajay Bhasin Kaitlin Lima Lawrence J. Jennings Senthil Balasubramanian Akihiro J. Matsuoka Kikuchi-Fujimoto disease presenting in a patient with SARS-CoV-2: a case report BMC Infectious Diseases COVID-19 SARS-CoV-2 Kikuchi-Fujimoto Syndrome Cervical lymphadenopathy |
author_facet |
Samuel D. Racette Borislav A. Alexiev Michael P. Angarone Ajay Bhasin Kaitlin Lima Lawrence J. Jennings Senthil Balasubramanian Akihiro J. Matsuoka |
author_sort |
Samuel D. Racette |
title |
Kikuchi-Fujimoto disease presenting in a patient with SARS-CoV-2: a case report |
title_short |
Kikuchi-Fujimoto disease presenting in a patient with SARS-CoV-2: a case report |
title_full |
Kikuchi-Fujimoto disease presenting in a patient with SARS-CoV-2: a case report |
title_fullStr |
Kikuchi-Fujimoto disease presenting in a patient with SARS-CoV-2: a case report |
title_full_unstemmed |
Kikuchi-Fujimoto disease presenting in a patient with SARS-CoV-2: a case report |
title_sort |
kikuchi-fujimoto disease presenting in a patient with sars-cov-2: a case report |
publisher |
BMC |
series |
BMC Infectious Diseases |
issn |
1471-2334 |
publishDate |
2021-08-01 |
description |
Abstract Background We present a yet to be described association of SARS-CoV-2 infection with Kikuchi-Fujimoto disease. Case presentation A 32-year-old physician with history of SARS-CoV-2 infection presented to the emergency department with 2 weeks of fever, chills, and right sided cervical lymphadenopathy. He was treated empirically for presumed folliculitis with worsening of symptoms leading to repeat presentation to the emergency department. Extensive workup was unrevealing of an infectious cause and needle biopsy of the lesion was unrevealing. An excisional lymph node biopsy revealed follicular hyperplasia with necrotic foci showing abundance of histiocytes at the edge of necrosis with CD8 predominance of T-cells. Final diagnosis was deemed to be Kikuchi-Fujimoto disease. Antibiotic therapy was discontinued, and the patient’s symptoms resolved with steroid therapy and expectant management. Conclusions This is the first report of a patient developing Kikuchi-Fujimoto disease following SARS-CoV-2 infection. Clinicians should be aware of Kikuchi-Fujimoto disease as a possibility when approaching patients with hyper-inflammatory states who present with cervical lymphadenopathy. |
topic |
COVID-19 SARS-CoV-2 Kikuchi-Fujimoto Syndrome Cervical lymphadenopathy |
url |
https://doi.org/10.1186/s12879-021-06048-0 |
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