Hip Pelvis.  2016 Dec;28(4):254-258. 10.5371/hp.2016.28.4.254.

Kikuchi-Fujimoto Disease Misdiagnosed as Relapse of the Infection after Treatment of Periprosthetic Hip Joint Infection

Affiliations
  • 1Department of Orthopedic Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea. oslee@dsmc.or.kr

Abstract

Periprosthetic joint infection (PJI) of the hip can be difficult to treat and can lead to a number of problems including: i) severe functional decline of the hip joint and ii) increasing financial burden for patients due to long treatment periods and the need for repeated surgical interventions. Because there is risk of inadequate control of infection or relapse of a preexisting infection following the treatment of PJI through surgery, it is important to closely observe clinical symptoms such as systemic fever. Kikuchi-Fujimoto disease is usually a self-limiting disease characterized by fever and cervical lymphadenopathy. We report one case of Kikuchi-Fujimoto disease, with literatures review, that was mistaken for an infection relapse after surgical treatment of the PJI due to sustained fever postoperatively.

Keyword

Hip; Kikuchi-Fujimoto disease; Periprosthetic joint infection

MeSH Terms

Fever
Hip Joint*
Hip*
Histiocytic Necrotizing Lymphadenitis*
Humans
Joints
Lymphatic Diseases
Recurrence*
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