Gastric Bleeding with Multiple Organs Involvement of Eosinophilic Infiltration: A Case Report and Literature Review
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Eosinophilic infiltration (EI) is commonly causedbyparasitic infections, fungal infection, drug allergy, neoplastic disease, hyper eosinophilic, familial inheritance syndrome, inflammation etc. We report a case of 69 yrs oldman presented as upper digestive tract hemorrhage and abdominal distension for 10 days with eosinophilic infiltration involving liver, gastrointestinal tract (GIT) and lungs. For this case, contrast-enhanced CT of liver showed multiple small, oval or round and low attenuating nodules with well or fuzzy margins on sequential arterial and venous phase scans. Pulmonary CT showed small to medium sized multiple irregular nodule with surrounding airspace consolidation or ground-glass opacity and interstitial changes.Gastroendoscopyshowed diffuse bulky mucosa in the fundus and body of the stomach with erosion at surface, and an ulcer at gastric body. Eosinophils count was as high as 26.5×10-9/L (0.02-0.52×10- 9/L). The finally diagnose was made by bone biopsy.Treatment had been givenoral prednisone and he was followed-up long term with no evidence of recurrence.
Authors and Affiliations
Vinay-Pratap Singh, Hong-Lin Wu, Xiao-Feng Ye, Zheng-Xing Jiang, Yuan Shi
Keywords
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- EP ID EP593732
- DOI 10.9790/0853-1604036266.
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