Abstract

Kikuchi–Fujimoto disease is a rare self-limiting necrotizing lymphadenitis usually affecting young adults. It commonly presents with tender posterior cervical lymphadenopathy and fever. Infections and autoimmune disorders are considered triggers for the onset of Kikuchi’s disease. However, the exact pathogenesis of the disease remains unclear. We report a case of a young male who underwent surgery for anomalous origin of the thoracic arteries post which he developed a persistent fever and cough. He was hemodynamically stable with no localizing signs of fever. All infective workups were negative. After an intensive workup, he was finally diagnosed with Kikuchi–Fujimoto disease.

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