• Internal medicine · Jun 2021

    Review Case Reports

    Recurrent Aseptic Meningitis Associated with Kikuchi's Disease (Histiocytic Necrotizing Lymphadenitis): A Case Report and Literature Review.

    • Shiori Sekiguchi, Yu Yamamoto, Shuji Hatakeyama, and Masami Matsumura.
    • Division of General Medicine, Center for Community Medicine, Jichi Medical University, Japan.
    • Intern. Med. 2021 Jun 1; 60 (11): 1779-1784.

    AbstractWe herein report a 31-year-old man with recurrent aseptic meningitis associated with Kikuchi's disease. Although aseptic meningitis is the most common neurological complication of Kikuchi's disease, its characteristics remain unclear, especially in recurrent cases. A literature review revealed that aseptic meningitis associated with Kikuchi's disease was more likely to occur in men and was associated with a low cerebrospinal fluid (CSF)/serum glucose ratio. Lymphadenopathy tended to occur simultaneously or after the onset of meningitis. When encountering a patient with aseptic meningitis of unknown etiology, it may be worthwhile to focus on the CSF/serum glucose ratio and lymphadenopathy with a careful examination.

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