Case Report
Case Report of Kikuchi-Fujimoto Disease from Sub-Saharan Africa: An Important Mimic of Tuberculous Lymphadenitis
Table 1
Laboratory results summarized from 2017 to 2019.
| Variable | Reference range | Aug 2017 | Sept 2017 | Jan 2018 | July 2018 | Feb 2019 |
| White blood cell | 4–10 (109/L) | 2.51 | 3.19 | | | 2.06 | Neutrophil count | 2–7 (109/L) | 1.16 | 2.12 | | | 1.14 | Lymphocyte count | 1–3 (109/L) | 1.10 | 0.81 | | | 0.80 | Hemoglobin | 11.5–16.5 (g/dl) | 10.2 | 11 | | | 11 | Platelet count | 150–450 (109/L) | 118 | 153 | | | 85 | ESR (Erythrocyte sedimentation rate) | 0–20 (mm/hr) | | 44 | | | 61 | CRP (C-reactive protein) | 0–5 (mg/l) | 1.63 | 15.1 | | | | AST (aspartate transaminase) | 0–35 (U/L) | 22 | 23.5 | | | 33.4 | ALT (alanine transaminase) | 0–35 (U/L) | 17.7 | 13.9 | | | 15.6 | Creatinine | 58–98 (micromol/l) | 65 | 59 | | | 60 | HIV Elisa | | Neg | Neg | | Neg | | CSF: | | | | | | | Cell count | 0–5 (mm3) | 31.25 | 295 | | | <5 | Neut | % | 6 | 4 | | | | Lymph | % | 94 | 96 | | | | Glucose | 2.22–3.89 (mmol/l) | 2.39 | 3.51 | | | 2.69 | Protein | 0.15–0.45 (g/l) | 0.52 | 0.56 | | | 0.44 | Tb Gene expert | | | Neg | | | Neg | CSF adenine deaminase | 0–5 (U/L) | | 18.41 | | | 0.29 | CSF culture | | No growth | No growth | | | No growth | CSF viral PCR-herpes + enterovirus | | Neg | | | | Neg | EBV (Epstein-Barr virus) | | IgG-positive IgM-neg | | | | | Tropical fever screen- (i) Malaria antigen (ii) Leptospira (iii) Rickettsia (iv) Dengue (v) West Nile virus (vi) Chikungunya | | Neg | | | | Neg | Malaria parasite | | Absent | Absent | | | | Blood culture | | No growth | | | | No growth | Urine culture | | No growth | | | | No growth | ANA (antinuclear antibody) | | | Neg | | | Positive 1 : 320 speckled | ENA | | | | | | Positive for SS-A/RO-52 | Complement 3/4 | | | | | | Normal | Anti-dsDNA | | | Neg | | | Neg | Antiphospholipid antibody | | | | | | Neg | Direct Coombs test | | | | | | Neg | Ferritin | 13–150 (ng/ml) | | | | | Normal | Lipid profile | | | | | | Normal | TSH (thyroid stimulating hormone) | 0.27–4.2 (pg/ml) | | 1.68 | 49.77 | 25.24 | 4.23 | T3 | 2–4.4 (pg/ml) | | 2.88 | 1.67 | 2.97 | 1.87 | T4 | 0.97–1.58 (ng/ml) | | 0.87 | 0.32 | 0.84 | 0.86 | Anti-TPO antibodies | <34 (IU/ml) | | | | 290 | | Antithyroglobulin | <115 (IU/ml) | | | | 226 | | TSH receptor antibodies | <1.22 | | | | 0.468 | | Lymph node biopsy | | | Refer to Figures 1(a) and 1(b) | | | Refer to Figure 1(c) | Tissue Tb culture | | | Neg | | | | Bone marrow aspirate | | | | | | Normocellular |
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