Korean J Pediatr Infect Dis.  1997 May;4(1):150-154. 10.14776/kjpid.1997.4.1.150.

A Case of Subacute Necrotizing Lymphadenitis in Axillary Area

• Kim WB
• Kang JH
• Lee SK
• Lee SN

• KMID: 2440368
• DOI: http://doi.org/10.14776/kjpid.1997.4.1.150

Abstract

Since 1972, a unique lymphadenitis called as subacute necrotizing lymphadenitis has been described in many Japanese literature. Originally described in Japan, it now appears worldwide. It mainly affects young women and usually manifests as fever and lymphdenopathy. The pathology is characterized by necrosis with loss of nodal architecture, infiltration with many histiocytes, and an absence of granulocytes. We report a case of subacute necrotizing lymphadenitis in axillary area. 4 10-year-old male child was admitted with a one-month history of fever, swelling in the axillary area. He treated with intravenous antibiotics. Despite treatment he remained febrile for the next ten days. 4 dissection of the axillary swelling was then performed, as was a diagnostic lymph node biopsy. The patient's condition resolved over several days and he was discharged.

Keyword

Subacute necrotizing lymphadenitis; Kikuchi's disease

MeSH Terms

Anti-Bacterial Agents
Asian Continental Ancestry Group
Biopsy
Child
Female
Fever
Granulocytes
Histiocytes
Histiocytic Necrotizing Lymphadenitis
Humans
Japan
Lymph Nodes
Lymphadenitis*
Male
Necrosis
Pathology
Anti-Bacterial Agents