Case report: Kikuchi-Fujimoto disease presenting with persistent fever and widespread lymphadenopathy in a young adult

Kikuchi-Fujimoto disease (KFD) is a rare, self-limiting condition typically characterized by fever and lymphadenopathy. The exact etiology remains unclear but is suspected to be associated with viral infections and autoimmune responses. This report presents the case of a 32-year-old Chinese male who...

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Main Authors: Jing Ye, Qian Yu, Yan Chen, Chunping Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1519988/full
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author Jing Ye
Qian Yu
Yan Chen
Chunping Huang
author_facet Jing Ye
Qian Yu
Yan Chen
Chunping Huang
author_sort Jing Ye
collection DOAJ
description Kikuchi-Fujimoto disease (KFD) is a rare, self-limiting condition typically characterized by fever and lymphadenopathy. The exact etiology remains unclear but is suspected to be associated with viral infections and autoimmune responses. This report presents the case of a 32-year-old Chinese male who was admitted with recurrent high fever, lymphadenopathy, and hepatosplenomegaly. Initial treatment was ineffective, and a lymph node biopsy subsequently confirmed the diagnosis of KFD, with evidence of cytomegalovirus infection. Following treatment with corticosteroids, the patient’s symptoms improved rapidly, and no relapse was observed during follow-up after discharge. This case highlights the diagnostic challenges of KFD, particularly in distinguishing it from lymphoma and systemic lupus erythematosus. Accurate and timely diagnosis is crucial to avoid unnecessary treatments, and long-term follow-up is recommended to monitor for potential disease progression.
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publishDate 2025-01-01
publisher Frontiers Media S.A.
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series Frontiers in Immunology
spelling doaj-art-a3de3251c3b94a65b9d82ce3e9b62caf2025-01-10T05:10:26ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15199881519988Case report: Kikuchi-Fujimoto disease presenting with persistent fever and widespread lymphadenopathy in a young adultJing Ye0Qian Yu1Yan Chen2Chunping Huang3Department of General Practice, The Affiliated Panyu Central Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of Pathology, The Affiliated Panyu Central Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of General Practice, The Affiliated Panyu Central Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of General Practice, The Affiliated Panyu Central Hospital, Guangzhou Medical University, Guangzhou, ChinaKikuchi-Fujimoto disease (KFD) is a rare, self-limiting condition typically characterized by fever and lymphadenopathy. The exact etiology remains unclear but is suspected to be associated with viral infections and autoimmune responses. This report presents the case of a 32-year-old Chinese male who was admitted with recurrent high fever, lymphadenopathy, and hepatosplenomegaly. Initial treatment was ineffective, and a lymph node biopsy subsequently confirmed the diagnosis of KFD, with evidence of cytomegalovirus infection. Following treatment with corticosteroids, the patient’s symptoms improved rapidly, and no relapse was observed during follow-up after discharge. This case highlights the diagnostic challenges of KFD, particularly in distinguishing it from lymphoma and systemic lupus erythematosus. Accurate and timely diagnosis is crucial to avoid unnecessary treatments, and long-term follow-up is recommended to monitor for potential disease progression.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1519988/fullKikuchi-Fujimoto diseaselymphadenopathyviral infectionsautoimmunedifferential diagnosis
spellingShingle Jing Ye
Qian Yu
Yan Chen
Chunping Huang
Case report: Kikuchi-Fujimoto disease presenting with persistent fever and widespread lymphadenopathy in a young adult
Frontiers in Immunology
Kikuchi-Fujimoto disease
lymphadenopathy
viral infections
autoimmune
differential diagnosis
title Case report: Kikuchi-Fujimoto disease presenting with persistent fever and widespread lymphadenopathy in a young adult
title_full Case report: Kikuchi-Fujimoto disease presenting with persistent fever and widespread lymphadenopathy in a young adult
title_fullStr Case report: Kikuchi-Fujimoto disease presenting with persistent fever and widespread lymphadenopathy in a young adult
title_full_unstemmed Case report: Kikuchi-Fujimoto disease presenting with persistent fever and widespread lymphadenopathy in a young adult
title_short Case report: Kikuchi-Fujimoto disease presenting with persistent fever and widespread lymphadenopathy in a young adult
title_sort case report kikuchi fujimoto disease presenting with persistent fever and widespread lymphadenopathy in a young adult
topic Kikuchi-Fujimoto disease
lymphadenopathy
viral infections
autoimmune
differential diagnosis
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1519988/full
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