Abstract
Introduction: Mesenchymal cystic hamartoma (MCH) of the lung is a clinicopathological and a rare entity with typical pathological features. Mesenchymal cystic hamartoma is characterized by cystic pulmonary lesions that tend to increase in size slowly. The pulmonary hamartomas usually are asymptomatic more especially when they are small in size. The treatment is conservative in asymptomatic patients. The ultimate treatment is surgical for the large and symptomatic lung mesenchymal hamartomas. Case Report: A six-month-old male neonate was referred from a regional hospital with a history of progressive shortness of breath and fever. The chest X-ray was performed and it showed a thin walled left lung cystic mass with mediastinal deviation to the right side. Computed tomography scan followed the chest X-ray and it confirmed large and smaller cysts with thin walls. Biopsy was performed and it confirmed the diagnosis of mesenchymal cystic hamartoma of the lung. Thoracotomy and the excision of the left lung cysts were done and later the neonate was discharged from the hospital without complications. Conclusion: It is of utmost importance to consider a cystic mesenchymal lung hamartoma in our differential diagnosis when dealing with cystic lung masses in children.
Highlights
Kikuchi–Fujimoto disease (KFD) was originally described in a young woman and is a rare, benign and self-limited condition of unknown cause, usually characterized by cervical lymphadenopathy and fever
Kikuchi-Fujimoto disease should be considered in the differential diagnosis when a young woman presents with fever and cervical lymphadenopathy
Kikuchi–Fujimoto disease is usually characterized by cervical lymphadenopathy and fever
Summary
Kikuchi-Fujimoto disease (KFD) was described in 1972 in Japan by Kikuchi and Fujimoto [1,2,3]. A 31-year-old woman, rabbit breeder, with history of recent contact with dead rats, presented to the emergency department with complaints of fever (axillary temperature 38oC), facial and hand skin lesions for 10 days. Serology for infectious agents, microbiology and autoimmune blood work studies were negative It was performed CT scans of the neck, chest, abdomen and pelvis, which revealed small cervical lymphadenopathy and enlarged axillary lymphadenopathy. During admission time no fever was registered and leucopenia was maintained with inversion of the white cell blood count She underwent ultrasound guided histological fine needle biopsy of a right axillary lymph node. Skin biopsy of the lesions showed unspecified perivascular lymphocytic infiltrate (Figure 2B) At this point, doxycycline was suspended and it was prescribed analgesics to symptomatic treatment.
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call