Evaluation of a unilateral neck mass in a 16-year-old female: Kikuchi-Fujimoto disease with superimposed bacterial lymphadenitis

Joseph Burns, Shivany Pathania, Rebecca Griesser, Jolanta Norelli, Kelly Gilgeours, Jessica Tugetman, Nancy Palumbo

Research output: Contribution to journalArticlepeer-review

Abstract

The evaluation of pediatric neck masses offers the opportunity for consideration of a diverse range of pathologies, from infectious to neoplastic. A 16-year-old female presented with 2 weeks of worsening swelling and pain of a left-sided neck mass. Findings were consistent with Epstein–Barr virus and cytomegalovirus coinfection, but considering profound lymphadenopathy of the supraclavicular, mammillary, and axillary chains, further investigations were undertaken. Hematopathologic examination demonstrated necrotizing lymphadenitis, consistent with Kikuchi-Fujimoto disease. A diagnosis of Kikuchi-Fujimoto disease alongside chronic bacterial lymphadenitis was made on the basis of her response to clindamycin, and the chronic course of her illness and subsequent persistence of the swelling managed on an outpatient basis. The case study describes the initial diagnostic considerations and management as well as a review of the disease pathology.

Original languageEnglish (US)
JournalSAGE Open Medical Case Reports
Volume8
DOIs
StatePublished - 2020
Externally publishedYes

Keywords

  • Hospital medicine
  • Kikuchi-Fujimoto disease
  • Pediatric neck mass

ASJC Scopus subject areas

  • Medicine(all)

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