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Acute Tonsillitis With Concurrent Kikuchi’s Disease As A Cause Of Persistent Lymphadenopathy
Halimuddin, S1, Primuharsa Putra Sabir Husin Athar2, Mazita Ami3, Nor Hasni Shamsudin4, Nair, Gopal5.
We present a young adult female with symptoms of acute tonsillitis and tender cervical lymphadenopathy. Despite a full course of oral antibiotics, she had persistent left lower cervical lymphadenopathy measuring 2.0 x 1.5 cm at 2 weeks post-treatment. Rigid and flexible scope examinations did not reveal any abnormalities in the nasopharynx, oropharynx or hypopharynx. Tuberculosis tests were negative and blood index results were normal. Fine needle aspiration cytology revealed a non-specific granulomatous inflammatory process. Excisional lymph node biopsy was performed, and the patient was diagnosed as having Kikuchi’s Disease (KD). We would like to highlight the diagnostic challenges in detecting this condition and the importance of differentiating KD from tuberculosis and malignant lymphoma, the latter of which requires aggressive treatment.
Affiliation:
- Universiti Kebangsaan Malaysia Medical Centre, Malaysia
- Seremban Specialist Hospital, Malaysia
- Universiti Kebangsaan Malaysia Medical Centre, Malaysia
- Hospital Tuanku Ja'afar, Malaysia
- Hospital Lam Wah Ee, Malaysia
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Indexation |
Indexed by |
MyJurnal (2019) |
H-Index
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0 |
Immediacy Index
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0.000 |
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0 |
Indexed by |
Scopus (SCImago Journal Rankings 2016) |
Impact Factor
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- |
Rank |
Q2 (Medicine (miscellaneous)) |
Additional Information |
0.277 (SJR) |
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