Case Presentation: A 24 year-old woman with history of breast cancer status post mastectomy and adjuvant chemoradiation therapy presented with one week of fevers and cervical lymph node enlargement. On presentation, she was febrile with a temperature of 38.7⁰C. Physical exam was notable for tender, firm, bilateral posterior cervical chain lymphadenopathy up to 1cm. WBC [...]

Case Presentation: A 19 year old female presented to the student clinic with fevers up to 103 degrees F recurring daily over a period of weeks. She endorsed diffuse body aches and nausea/vomiting. Two years prior, she was diagnosed with Kikuchi disease, a benign self-limited lymphadenitis, following a lymph node biopsy in Bangladesh. Symptoms at [...]

Case Presentation: A 28 year old Nepali female presented with convulsive activity and one week of progressive changes in behavior and mental acuity. She had polyarthralgia, painful cervical lymph nodes, malar rash, subjective fever, headaches, and fatigue for 2 months. Previous workup revealed positive antinuclear antibody (ANA), anti-ribonuclearprotein (RNP), and anti-Ro antibodies with no formal [...]

Case Presentation: A 32 year-old African American man with a history of Kikuchi-Fujimoto’s Disease (KFD), presented with 2 weeks of fever, cervical lymphadenopathy and cough. Laboratory tests showed pancytopenia, elevated ESR, positive double stranded DNA and ANA titer. Complement 3 and 4 levels were low. His fever persisted despite broad spectrum antibiotics. Computed tomography (CT) [...]

Case Presentation: A 19-year old Caucasian female with a history of atopic dermatitis and mild asthma developed an erythematous maculopapular rash on her bilateral palms and wrists, right-sided tender cervical lymphadenopathy, and nightly fevers and headaches five days after returning from a one-month trip to Cambodia. She presented two weeks after returning from her trip [...]

Case Presentation: A previously healthy 20-year-old presented with 5 days of fevers and diffuse abdominal pain. Her exam was notable for tachycardia to 118/min, fever of 103F with marked abdominal tenderness. Her laboratory results were significant for leukopenia (3.7 K/uL), anemia (9.2 g/dL), elevated D-dimer to 2.98 ug/ml, CRP of 56.33 mg/L, and troponin of [...]

Case Presentation: A healthy 24 year old Chinese male was admitted for fever for 3 weeks. His symptoms were associated with chills and rigors, night sweats and loss of appetite. On physical examination, he had enlarged painful cervical and left axillary lymph nodes. Spleen and liver was not enlarged. His laboratory investigations were normal except [...]

Case Presentation: Twenty-two-year-old female with history of asthma presented to Emergency Department with recurrent fevers (101-103F) and tachycardia since June 13, 2023. Patient saw her PCP on 6/10, for fever, tachycardia and abdominal pain and started on Cefdinir for possible sinusitis which she started taking yesterday. Patient had associated non-specific diffused abdominal pain, back pain, [...]

Case Presentation: A 43-year-old Japanese man without significant past medical history presented with one month of progressive malaise, fevers, chills, and swollen, painful lymph nodes on the right side of his neck. Prior to coming to our hospital, he was seen in an emergency department and was given a course of penicillin for presumed adenitis [...]

Case Presentation: We present a case of a 22-year-old female with necrotizing lymphadenopathy, later diagnosed with Kikuchi-Fujimoto disease (KFD). The patient initially presented with fevers, night sweats, and painful swelling in the left side of her neck progressively worsening over four days. She also reported lightheadedness, a left-sided orbital headache, and a decreased appetite. There [...]