Case Report
Year: 2019 | Month: June | Volume: 6 | Issue: 6 | Pages: 321-326
Kimura’s Disease with Secondary Fungal Infection and Its Management by Antifungal Therapy: an Unusual Case Report
Dr. Chandrashekhar R. Bande1, Dr. Vijay N. Rode2, Dr. Anagha Assissi3, Dr. Supriya Dombre3, Dr. Ashish Lanjekar4
1Professor and P.G. Guide, 3PG Student,
Department of Oral and Maxillofacial Surgery Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur.
2Senior Lecturer Department of Oral and Maxillofacial Surgery, Dr. R.R. Kambe Dental College and Hospital, Akola
4Reader and P.G. Guide, Department of Oral Medicine Diagnosis and Radiology Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur.
Corresponding Author: Dr. Chandrashekhar R. Bande
ABSTRACT
Kimura’s disease is a chronic inflammatory disease of unknown etiology. It presents as painless lymphadenopathy or subcutaneous masses in the head and neck region. In words of Kimura it is an “unusual granulation combined with hyperplastic changes in lymphoid tissue”. It is believed that it represents a chronic deeper form of Angiolymphoid Hyperplasia with eosinophilia (AHLE). However, they can be distinguished based on histopathologic characteristics. AHLE represents a primary vascular malformation with secondary inflammation whereas Kimura’s disease represents a primary inflammation with secondary vascular proliferation. The report presents a case of 29-year-old Indian male who reported to the institute with swelling in the mid facial region with marked facial disfigurement. The swelling was firm, non- tender, non- fluctuant and without any neural involvement. The patient was treated with antibiotics. The symptoms receded after a month-long treatment. After a latency of one week, the disease reverted, now, showing clinical features of fungal infection. This was treated with antifungal therapy after consulting with dermatologist. The disease subsided following treatment. This is a report of unusual presentation of Kimura’s disease with fungal infection.
Key words: Kimura’s disease, chronic inflammatory disease, fungal infection, antifungal therapy
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