ABSTRACT
The Kikuchi-Fujimoto disease (histiocytic necrotizing lymphadenitis) is an autolimited process, which can be caused by viral agents like Epstein-Barr virus, human herpes virus, HIV, B19 parvovirus, paromyxoviruses, SARS-CoV-2, Toxoplasma and Yersinia. The correct diagnosis is based on histological findings. A 45-year-old female patient presented in our ambulatory room with a unilateral neck mass, fever, dysphonia and dysphagia. The patient was double-tested positive for SARS-CoV-2 approximately 1 month before the symptoms started. Before examination, the nasopharyngeal rapid test for SARS-CoV-2 resulted negative. After hospitalization, intravenous antibiotic (Augmentin, 3 × 1.2 g; Klion, 2 × 100 mg) and steroid (Solu-Medrol, 2 × 125 mg) therapy were administered. The neck and chest CT described a right-sided retropharyngeal abscess with bilateral neck lympadenopathy. Urgent tracheotomy, neck dissection and lymph node biopsy were made. The intraoperative findings excluded the presence of the abscess. The histological findings confirmed the necrotizing histiocytic lymphadenitis. Despite of the fact that the Kikuchi-Fujimoto disease is autolimited, we can see that, in this particular case, the lymphadenopathy after the SARS-CoV-2 infection caused a life-threatening situation. The formed extratissular liquid imitated the image of a retropharyngeal abscess. In the searched worldwide literature, similar intervention for this type of process was not described. Tracheotomy, neck dissection and removing the lymph nodes as ,,trigger zones" caused the full recovery of the patient. In the future, we consider important proving and clarifying the correlation between SARS-CoV-2 and Kikuchi-Fujimoto disease. Orv Hetil. 2022; 163(27): 1061-1065.
Subject(s)
COVID-19 , Epstein-Barr Virus Infections , Histiocytic Necrotizing Lymphadenitis , Retropharyngeal Abscess , COVID-19/complications , COVID-19/diagnosis , Diagnosis, Differential , Epstein-Barr Virus Infections/diagnosis , Epstein-Barr Virus Infections/pathology , Female , Herpesvirus 4, Human , Histiocytic Necrotizing Lymphadenitis/complications , Histiocytic Necrotizing Lymphadenitis/diagnosis , Histiocytic Necrotizing Lymphadenitis/drug therapy , Humans , Lymph Nodes , Middle Aged , Retropharyngeal Abscess/diagnosis , Retropharyngeal Abscess/pathology , SARS-CoV-2ABSTRACT
A SUMMARY: Economics is also expected to try to say something to the future in addition to exploring the facts of the past. It is not its primary task to make forecasts, but it cannot ignore it, especially during non-crisis periods. My study aims to use an econometric model to provide a forecast of the expected rates of increase in public debt in the Member States of the European Union caused by the coronavirus epidemic. I carry out the study assuming four different versions of the course of the crisis, and in the fifth scenario, I analyze the macroeconomic situation when the crisis ends. In any epidemic model, the expected increases in government debt resulting from the calculations are widely spread across countries. However, critical values are expected to be reached for Greece, Italy, and Spain.