Kikuchi's disease associated with hemophagocytosis

We report the case of a 40 year-old Nepali man admitted to the hospital with a one month history of fever associated with swelling, pain, and redness on the right side of the neck. On examination, tender lymph nodes were palpated in the right posterior cervical triangle. Bone marrow aspiration and biopsy showed hemophagocytosis. Cervical lymph node biopsy showed the typical necrotizing lymphadenitis of Kikuchi's disease. The patient was given non-steroidal anti-inflammatory drugs (Naproxen 500 mg twice daily orally). After ten days, the fever and lymphadenopathy subsided and he was consequently discharged.