Citation

Loh JM, Shafi H. BMJ Case Rep. 2014; 2014(ePub): ePub.

Affiliation

Department of General Medicine, Changi General Hospital, Singapore, Singapore.

Copyright

(Copyright © 2014, BMJ Publishing Group)

DOI

10.1136/bcr-2014-205832

PMID

25422331

Abstract

We present a case report of a 41-year-old woman of Malay ethnicity who presented with an 11-day history of fever and left-sided lymphadenopathy after consuming 'Miracle Mineral Solution' (sodium chlorite solution) for the first time. A diagnosis of Kikuchi-Fujimoto disease was established via lymph node biopsy after other differentials were excluded. The aetiology of Kikuchi-Fujimoto disease remains controversial, but viral, autoimmune and physicochemical causes have been suggested as possibilities. In this case, we hypothesise that oxidative injury from sodium chlorite initiated an inflammatory response, which triggered the onset of Kikuchi-Fujimoto disease.

Language: en