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- Kurahara Yu
- Department of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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- Tachibana Kazunobu
- Department of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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- Tezuka Kenji
- Department of Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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- Shimizu Shigeki
- Department of Pathology, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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- Kitaichi Masanori
- Department of Pathology, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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- Hayashi Seiji
- Department of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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- Suzuki Katsuhiro
- Department of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Japan
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抄録
A 28-year-old woman was referred to our hospital for treatment of tuberculous lymphadenitis, after presenting with fever, left cervical lymphadenopathy, and a positive interferon-gamma release assay (QuantiFERON®-TB Gold In-Tube; QFT) result. Surprisingly, biopsy specimens of the cervical lymph nodes showed necrotic lesions with prominent nuclear debris and a proliferation of histiocytes, consistent with Kikuchi-Fujimoto disease (KFD). A diagnosis was made of KFD complicated by latent tuberculosis infection (LTBI), and all symptoms had resolved completely two months post-diagnosis. KFD may be misdiagnosed as tuberculous lymphadenitis, and antibiotics unnecessarily prescribed. Careful attention should therefore be paid when diagnosing cervical lymphadenopathy.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 51 (14), 1927-1930, 2012
一般社団法人 日本内科学会