Diagnostic Dilemma - Pediatric Oncall
Kikuchi disease
Author: Pediatric Oncall
A 12 years old girl presented with swelling on left side of neck for 5-6 months which was gradually increasing in size. There was no contact with tuberculosis. On examination, weight was 49 kg, height was 154 cm. She had 4x3 matted cervical adenopathy in left posterior triangle. Other systems were normal. Hemoglobin was 9.4 gm, dl, WBC count was 6,500, cumm {54 percent polymorphs, 42 percent lymphocytes, 4 percent monocytes} with ESR of 25 mm at end of 1 hour. Mantoux test was 20 mm. Chest X-Ray was normal. Fine needle aspiration cytology {FNAC} of the lymph node was done which was suggestive of Kikuchi’s lymphadenopathy.
Answers of this discussion
Author :- M Viswanathan on 13 November 2013.
Answer :- Kikuchi will not stay for five to six months without fever and other systemic features.

Author :- Sabri Sakrana on 13 November 2013.
Answer :- Kikuchi disease

Author :- RUDY SUSANTO on 15 November 2013.
Answer :- Tuberculosis

Author :- Shobha Suresh on 15 November 2013.
Answer :- Tuberculosis, as the above mentioned can be seen in both, but mantoux More than 20mm is positive for a patient with tuberculosis in a patient with no known risk for tuberculosis

Author :- Bankim Parikh on 15 November 2013.
Answer :- Fujimoto kikuchi disease

Author :- geetha narayanan on 16 November 2013.
Answer :- Tuberculosis

Author :- Chaitali patra on 16 November 2013.
Answer :- This is kikuchi disease

Author :- Ulrike Salzer Muhar on 16 November 2013.
Answer :- Probably TBC

Author :- meghna saonerkar on 16 November 2013.
Answer :- kikuchi disease

Author :- abdallah ahmad on 16 November 2013.

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