ISSN - 0973-0958

Pediatric Oncall Journal View Article

A Case Report of Kikuchi Fujimoto Disease with Myocarditis
Sandip Bartakke1, Nakul Pathak2, Shrividya S3.
1Department of Clinical Hematology, Aditya Birla Memorial Hospital, Pune, India,
2Department of Pediatrics, Aditya Birla Memorial Hospital, Pune, India,
3Department of Pathology, Aditya Birla Memorial Hospital, Pune, India.
Kikuchi-Fujimoto disease is a self-limiting disease which frequently appears as fever with lymphadenopathy, thus creating the need for differential diagnosis with lymphoma, systemic lupus erythematosus {SLE}, infectious mononucleosis, cat-scratch disease, and toxoplasmosis. However, there are cases in which it may evolve with complications such as aseptic meningitis, cerebellar ataxia, and aseptic myocarditis. We report a case of a 14-year-old boy who presented with fever and lymphadenopathy. Kikuchi disease was diagnosed on the basis of lymph node histopathology. He developed hypotension requiring fluid bolus and inotropic support with electrocardiogram suggestive of myocarditis. There was significant improvement of the clinical picture with prednisolone.

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