Author(s)

Madiha Mahfoudhi^*, Imen Gorsane, Sami Turki, Taieb Ben Abdallah

Department of Internal Medicine A, Charles Nicolle Hospital, Tunis, Tunisia.

A 32-year-old woman presented with a fever and cervical lymphadenopathies. The research for Mycobacterium tuberculosis was negative. Tuberculin skin test was positive. Laboratory investigations showed an elevated erythrocyte sedimentation rate and a normal white blood cell count. Bacteriological and viral investigations were negative. Quantiferon-Tb Gold test was indeterminate. Thraco-abdominal and pelvic computed tomography, FDG-PET and gallium scintigraphy revealed no abnormalities. Histological study of cervical lymph node biopsy found signs in favor of histiocytic necrotizing lymphadenitis. There were no epithelioid cell granulomas. A test tuberculosis treatment was refused by the patient. The evolution was marked by spontaneous clinical and biological resolution in fifty days. The negative Lowenstein-Jensen culture eliminated formally the tuberculosis. KFD was thus the most likely diagnosis.

Kikuchi-Fujimoto Disease, Mycobacterium tuberculosis, Lymphadenitis, Histology

Mahfoudhi, M. , Gorsane, I. , Turki, S. and Abdallah, T. (2015) Kikuchi-Fujimoto Disease Mimicking Tuberculosis. International Journal of Clinical Medicine, 6, 725-728. doi: 10.4236/ijcm.2015.610096.