A rare and interesting case report of Kikuchi-Fujimoto disease masquerading as tuberculosis

Kikuchi-Fujimoto disease (KFD), or histiocytic necrotizing lymphadenitis, is a rare benign, self-limited condition, probably genetic, that mainly affects young women which often presents with localised lymphadenopathy and fever. Reporting the case of a 17-year-old girl, with a strong family history of tuberculosis, who presented to the surgery OPD with cervical lymphadenopathy and a history of anti-tubercular treatment for the same complaints two years back. An excision biopsy revealed necrotizing histiocytic lymphadenitis suggestive of KFD. Post-operative period was uneventful and patient had spontaneous resolution of her complaints upon follow up. It is quite difficult to make a pre-operative diagnosis of this disease, until the clinician has got a very high index of suspicion especially because of the more common differential diagnoses including extrapulmonary tuberculosis.

Knowledge, Attitude and Awareness of The Pediatricians in Preventing Dental Caries in Children of Ernakulum District.

Aim: To assess the knowledge, attitude and awareness of the pediatricians in preventing dental caries in the children of Ernakulum district, as the first step towards educating parents about the preventive health strategies and implementation of these should begin at the pediatrician’s office. Methods: A questionnaire survey was conducted among 50 private and 50 institution based pediatricians of Ernakulam district. Their knowledge was assessed about dental caries, fluoride supplement and spread of caries. Their attitude toward prevention of dental caries was assessed based on queries about their role in promoting oral health, assessment of dental caries during routine examination. The collected data was tabulated and percent frequency distributions for responses to each questions were calculated. Results: A majority (72.9%) of the pediatricians routinely examined the oral cavity of the patients for caries. However, 62.5% diagnosed caries as frank cavities on teeth before referral to the dentist. About 71.8% of them felt that they are committed towards upholding the oral health of a child, but constrained knowledge hampers their counselling process. About 54.5% of the practitioners gave credence to 1 year as an ideal age for the first dental checkup for the child. Conclusion: As the results of this study clearly revealed that, 71.8% of the pediatricians felt that they have the obligation towards the maintenance of a child’s oral health. Therefore, a well informed and perceptive pediatrician can improve the oral health of a child by carrying out dental examination along with physical examination at his office.