Der Internist
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We report the case of a 29-year-old Turkish woman who was admitted to hospital with a 4-week history of fever up to 39.0 °C, headache, sore throat, fatigue and painful cervical and right-sided axillary lymph node swelling. Computed tomography imaging of the neck, thorax and abdomen identified generalized but in particular bilateral cervical and right-sided axillary lymph node enlargement (up to 2 cm). The histological examination of the axillary lymph node biopsy revealed Kikuchi-Fujimoto disease (KFD), a condition characterized by histiocytic necrotizing lymphadenitis. The patient was treated symptomatically with analgesics and antipyretics and the symptoms and febrile condition slowly improved.