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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kaminsky, Donald Patel, Nirav Philips, Dahlia Nigo, Masayuki Mildvan, Donna |
| Description | Author Affiliation: Patel N ( Division of Infectious Diseases, Mount Sinai Beth Israel, New York, New York, USA.); Philips D ( Summit Medical Group, Berkeley Heights, New Jersey, USA.); Nigo M ( Department of Infectious Diseases, MD Anderson, Houston, Texas, USA.); Kaminsky D ( Division of Infectious Diseases, Mount Sinai Beth Israel, New York, New York, USA.); Mildvan D ( Division of Infectious Diseases, Mount Sinai Beth Israel, New York, New York, USA.) |
| Abstract | A 29-year-old Japanese man developed fever, nausea, vomiting, diarrhoea, right lower quadrant abdominal pain and rebound tenderness. With the clinical suspicion of appendicitis, an abdominal CT scan was performed, which revealed mesenteric lymphadenitis. The patient was hospitalised and treated with antibiotics, but was ultimately found to have Kikuchi-Fujimoto disease (KFD). This diagnosis was facilitated by the use of positron emission tomography scan that identified an accessible inguinal lymph node for biopsy and histopathological evaluation. Invasive abdominal surgery was thereby averted and the patient made a complete recovery on subsequent follow-up. Review of the published literature reveals that pseudoappendicitis due to KFD is a rare occurrence that has generally required abdominal surgery to establish the diagnosis, thus supporting the potential value of the approach taken here. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2014 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Appendicitis Diagnosis Histiocytic Necrotizing Lymphadenitis Lymph Nodes Pathology Acute Disease Anti-Bacterial Agents Therapeutic Use Biopsy Diagnosis, Differential Drug Therapy Positron-Emission Tomography Tomography, X-Ray Computed Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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