以不明原因发热为首发症状的组织细胞坏死性淋巴结炎1例

A Case of Tissue Necrotizing Lymphadenitis Initiated by Unexplained Fever

本文回顾一例以不明原因发热为首发症状最终确诊为组织细胞坏死性淋巴结炎患者的临床资料。患者男性,以“反复发热40余天,恶心、呕吐1月”入科,初步诊断为“不完全性肠梗阻”,经淋巴结穿刺活检后确诊为组织细胞坏死性淋巴结炎。经对症治疗后好转,11月后随访未复发,预后良好。现报道如下。

Histiocytic necrotizing lymphadenitis, also known as Kikuchi-Fujimoto disease, is a self-limiting non-neoplastic lymph node enlargement disease with an unknown etiology. The clinical manifesta-tions are mainly lymph node enlargement and unexplained fever symptoms. Lymph node biopsy is the only diagnostic method, and the prognosis is mostly good. Symptoms can be alleviated by symptomatic treatment or steroid use, but it is easily misdiagnosed. This article reviews a case of organic cell necrotizing lymphadenitis with unexplained fever as the first symptom. After treat-ment, the patient showed improvement and had a good prognosis. The details are reported below.