Annals of Tropical Medicine and Public Health
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Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 134-138

Case of recurrent fever with late lymphadenopathy: Think of Kikuchi's disease

1 Department of Medicine, Bangalore Diabetes Hospital, Vasanthanagar, and AJ Diabetes Care and Polyclinic, BTM Layout, Bangalore, Karnataka, India
2 Department of Community Medicine, St. John's Medical College, Bangalore, Karnataka, India
3 Department of Community Dentistry, The Oxford Dental College and Hospital, Bangalore, Karnataka, India

Correspondence Address:
M Abdul Jaleel
No. 102, Fourth Cross, First Block-East, Jayanagar, Bangalore - 560 011, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.115196

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Kikuchi's disease or histiocytic necrotizing lymphadenitis, a relatively uncommon and self-limiting entity of varied manifestations including prolonged fever, is diagnosed primarily by excluding other more common causes of fever and established finally by the typical histological finding on lymph node biopsy. The appearance of palpable lymph nodes may be delayed and become clinically detectable only after the initial fever subsides, and the patient having spent a few days without fever comes back with episodes of recurrent fever before the lymph nodes become clinically palpable. One such case is presented here to stress upon the importance of complete and thorough systematic clinical examination on each and every visit by the patient to the physician.

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