A 32-year-old man from Visakhapatnam, has been recognized with the uncommon Kikuchi–Fujimoto illness at KIMS Hospitals, Seethammadhara after almost six years of recurrent lymph nodes swelling and repeatedly being handled for suspected tuberculosis. Kikuchi–Fujimoto illness is a uncommon inflammatory dysfunction of the lymph nodes that may carefully mimic tuberculosis and lymphoma.
Dr Konathala Surendra, marketing consultant pulmonologist at KIMS Hospitals mentioned: “The affected person first introduced in 2020 with fever, swelling within the neck and axillary (armpit) areas, and a low white blood cell rely. His fever persevered, regardless of 4 weeks of remedy, and he later developed oral ulcers and additional abnormalities in his blood rely. Repeated microbiological investigations for tuberculosis have been unfavourable, prompting a reassessment of the analysis and remedy.”
In 2022, the affected person skilled one other episode of lymph node swelling and was as soon as once more handled for tuberculosis. In 2026, he visited KIMS Hospitals, Seethammadhara, with painful swelling in the best axilla (armpit). Given his extended historical past and recurrent signs, the medical workforce carried out in depth analysis to rule out tuberculosis, different infections and lymphoma. An in depth evaluation, together with lymph node biopsy, blood investigations and immunological checks, finally confirmed Kikuchi–Fujimoto illness.
“This case highlights the necessity to look past tuberculosis when lymph node swelling recurs regardless of repeated unfavourable microbiological investigations and poor response to remedy. A analysis shouldn’t be based mostly on a single discovering akin to granulomatous adjustments. Histopathology must be interpreted alongside microbiological, immunological and scientific findings,” mentioned Dr. Konathala Surendra. The affected person has accomplished remedy and was discharged in a steady situation.
Printed – August 18, 2026 09:17 pm IST
