Kikuchi-Fujimoto Disease in a Young Female: A Case Report

Main Article Content

Ni Putu Merlynda Pusvita Dewi
Sentra Medika Hospital Cibinong, Bogor

Kikuchi-Fujimoto Disease (KFD) is an uncommon, non-cancerous inflammatory condition of the lymph nodes that typically affects young women of Asian descent. It often manifests through vague clinical signs such as fever and swollen lymph nodes in the neck, which can easily be mistaken for more serious illnesses, including lymphoma or systemic lupus erythematosus (SLE). The difficulty in diagnosis is heightened by the lack of distinctive features on imaging studies, making histopathological examination via lymph node biopsy vital for establishing a definitive diagnosis and preventing incorrect treatment. This case involves a 25-year-old woman who experienced persistent fever and multiple painful cervical lymph nodes for two weeks. Blood tests indicated mild anemia and an increased erythrocyte sedimentation rate (ESR). Ultrasound revealed several solid, avascular nodules, and biopsy findings confirmed the presence of KFD. Treatment focused on symptom relief using non-steroidal anti-inflammatory drugs (NSAIDs), resulting in full recovery within a fortnight. Due to the disease’s possible links with autoimmune conditions and its tendency to recur, ongoing monitoring of patients is essential. This case highlights the necessity of precise identification to avoid overtreatment and calls attention to the importance of further studies on KFD’s underlying mechanisms, potential early diagnostic markers, and long-term patient outcomes to enhance clinical care.


Keywords: Kikuchi-Fujimoto disease, lymphadenopathy, case report, autoimmune diseases, young women
Bennett, J. A., Lamb, C., & Young, R. H. (2016). Apoplectic leiomyomas: A morphologic analysis of 100 cases highlighting unusual features. American Journal of Surgical Pathology, 40(4). https://doi.org/10.1097/PAS.0000000000000569
Bosch A., Miquel R., Campo E., X., & Guilabert. (2004). Enigmatic Kikuchi-Fujimoto disease: A comprehensive review. American Journal of Clinical Pathology, 122(1), 141–152. https://doi.org/10.1309/YF08-1L4T-KYWV-YVPQ
Jang K., Seok H., Y., & Park. (2000). Management of Kikuchi’s disease using glucocorticoids. Journal of Laryngology and Otology, 114(9), 709–711. https://doi.org/10.1258/0022215001906561
Kerr, J. R. (2019). Epstein-Barr virus (EBV) reactivation and therapeutic inhibitors. Journal of Clinical Pathology, 72(10). https://doi.org/10.1136/jclinpath-2019-205822
Kikuchi, M. (1972). Lymphadenitis showing focal reticulum cell hyperplasia with nuclear debris and phagocytosis. Nippon Ketsueki Gakkai Zasshi, 35, 379–380.
Kim K. S., Kim Y., Lee J., Lee K., & Lee J., T. Y. H. (2014). Characteristics of Kikuchi–Fujimoto disease in children compared with adults. European Journal of Pediatrics, 173, 111–116. https://doi.org/10.1007/s00431-013-2131-3
Lin M. S., Tan P. L., Wang S., Shek L. P., D. Y., & Villegas. (2010). Kikuchi disease and immunomodulator. Singapore Medical Journal, 51(1), 18–21.
Moore, A., Hikri, E., Goshen-Lago, T., Barkan, T., Morgenstern, S., Brook, E., Maderer, A., Roth, W., Gordon, N., Kashtan, H., Brenner, B., Moehler, M., & Aharon, I. Ben. (2020). Young-onset gastric cancer and Epstein-Barr Virus (EBV) - A major player in the pathogenesis? BMC Cancer, 20(1). https://doi.org/10.1186/s12885-020-6517-0
Münz, C. (2023). Modulation of Epstein-Barr-Virus (EBV)-Associated Cancers by Co-Infections. In Cancers (Vol. 15, Issue 24). https://doi.org/10.3390/cancers15245739
Norris A. M., Salhany K. E., Gluckman S. J., A. H., & Krasinskas. (1996). Kikuchi-Fujimoto disease: A benign cause of fever and lymphadenopathy. American Journal of Medicine, 101(4), 401–405.
Ramirez J., Murr A. H., A. L., & Johnson. (1999). Kikuchi-Fujimoto’s disease: An easily misdiagnosed clinical entity. Otolaryngology–Head and Neck Surgery, 125(6), 651–653.
Saravanan, T., Subha, M., Raj, M., & Saravanan, R. (2021). Kikuchi-fujimoto disease: A diagnostic dilemma. International Journal of Dentistry and Oral Science, 8(6). https://doi.org/10.3329/akmmcj.v5i2.21134
Singh C. B., J. M., & Shermetaro. (2019). Kikuchi-Fujimoto disease in Michigan: A rare case report and review of the literature. Clinical Medicine Insights: Ear, Nose and Throat, 12, 1179550619828680.
Soub, H. Al, Ibrahim, W., Maslamani, M. Al, A. Ali, G., Ummer, W., & Abu-Dayeh, A. (2021). Kikuchi-Fujimoto disease following SARS CoV2 vaccination: Case report. IDCases, 25. https://doi.org/10.1016/j.idcr.2021.e01253
Sousa J. M. A., Santos M. H. de S., Martins M. P. R., Salles J. M. P., A. de A., & Soares. (2010). Kikuchi-Fujimoto disease: Three case reports. São Paulo Medical Journal, 128(4), 232–235.
Tabibzadeh, A., Niya, M. H. K., Esghaei, M., Bokharaei-Salim, F., Ataei-Pirkooh, A., Kiani, S. J., & Monavari, S. H. R. (2020). Molecular epidemiology of epstein-barr virus (ebv) in patients with hematologic malignancies. Asian Pacific Journal of Cancer Prevention, 21(3). https://doi.org/10.31557/APJCP.2020.21.3.693
Tsang J. K., Ng C. S., W. Y., & Chan. (1994). Kikuchi’s lymphadenitis: A morphologic analysis of 75 cases with special reference to unusual features. American Journal of Surgical Pathology, 18(3), 219–231.
Xu W., & Liu J., S.?; S. (2019). Kikuchi-Fujimoto disease: A case report and the evaluation of diagnostic procedures. BMC Oral Health, 19(1), 1–5.